Leanna Pollack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30000820 Issued in NC

Practice address

6001 Wilora Lake Rd
Charlotte, NC 28212-2833

Phone

(704) 563-2922

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1033849013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 BACK RIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770192",
            "telephone_number": "704-877-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WILORA LAKE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282122833",
            "telephone_number": "704-563-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "LEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwina Denise Polk, LPC
• Inobeme Polk, LCSW-A
• Alyssa Selembo Pollack, MS CCC-SLP
• Ava Pollack, LCMHC
• Joshua David Pollack, DDS
• Rebecca Ida Pollack, MD
• Anne Marie Pollard
• Megan Mann Pollard, MS, CGC
• Erin Elizabeth Pollock, DO
• Sarah Anne Medearis Pollock, MD

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.