Polk, Andrea
Polk, Andrea is an individual health care provider with primary practice located at 80 Eureka Square Suite 124, Pacifica CA 94044. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polk, Andrea can be contacted via phone (650) 359-0711.Contact Information
Primary practice address
80 Eureka Square Suite 124
Pacifica CA 94044
Phone: (650) 359-0711
Fax: (650) 738-1246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY11637 | California |
Profile Details
| NPI number | 1790899581 |
|---|---|
| LBN Legal business name | Polk, Andrea |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790899581 | NPPES |
| Other | 164390 | VALUE OPTIONS |
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