Lori Sue Polly, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2342 Issued in KY

Practice address

2649 Red Leaf Dr
Lexington, KY 40509-1742

Phone

(859) 543-9689

NPI assigned

Nov 9, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1417137100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 RED LEAF DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091742",
            "telephone_number": "859-543-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 RED LEAF DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091742",
            "telephone_number": "859-543-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLY",
        "first_name": "LORI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Policicchio, SLP
• Rayudu B Polisetty, M.D.
• Dolores Polito, CNM
• Matthew Q Polk
• Susan Harkavy Pollack, MD
• Oshuare Olubunmi Polly, MD
• Pamela Louise Polly, FNP
• Robin McHale Polly, D.O.
• Denise Michelle Polnisch, P.T.
• Dylan J Polter, BS, RBT

• Speech-Language Pathologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.