Deborah Lyn Polzin, LLP
Individual provider Active NPI Clinical Psychologist · Iron River, MI
NPI 1295750461 · NPPES record last updated Aug 14, 2008
Key facts
- NPI
- 1295750461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301012659 (MI)
- Practice address
- 703 N 2ND Ave
Iron River, MI 49935-1451 - Phone
- (906) 265-5126
- Fax
- (906) 265-5878
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012659 | MI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012659 | MI | Yes |
Addresses
Primary practice location
703 N 2ND Ave
Iron River, MI 49935-1451
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP012659 | Other | MI | BCBS OF MI |
Other providers in Iron River, MI
- Erin Pairolero
- Tara Lynn Parent
- Barbara J Peterson
- Jay Petroski
- Brenda Jo Plociniak
- Kelly Polzin
- Alyssa Possanza
- Nicki Lee Price
- Professional Breathing Associates Inc
- Georgia Recla
All providers in Iron River, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.