IndividualActive
Angel Dyke Polivka, MS, CCC-SLP
NPI 1679226724 · Speech-Language Pathologist · Pleasant Grove, UT
Provider details
- NPI number
- 1679226724
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
890 N 200 W
Pleasant Grove, UT 84062-1608
Phone: (812) 219-7233
Approximate (ZIP-level) locationGet directions
Mailing address
890 N 200 W
Pleasant Grove, UT 84062-1608
Registry dates
- Enumerated
- 2022-01-29
- Last updated
- 2022-01-29
- Certified
- 2022-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.