Basic Information
| Provider Information | |||||||||
| NPI: | 1386711075 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POHLOT | ||||||||
| FirstName: | NANCY | ||||||||
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| Credential: | M.A., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26851 VIA GRANDE | ||||||||
| Address2: | |||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926916134 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 23361 MADERO | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926912715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495818239 | ||||||||
| FaxNumber: | 9498590928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 6860 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.