Most Relevant Information
Provider Data
| NPI Number: | 1003566175 |
| Provider Name: | JENNIFER POLK MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 104560 |
Most Important Dates
| Enumeration Date: | 03/24/2022 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
1404 N IH 35
NEW BRAUNFELS
TX
781302817
Practice Location Phone/Fax
| Phone: | 8302212230 |
| Fax: |
Provider Mailing Location
1404 N IH 35
NEW BRAUNFELS
TX
781302817
Provider Mailing Phone/Fax
| Phone: | 8302212230 |
| Fax: |