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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARSHALL POLAKOFF, PSYD

Active Sole Proprietor

MARSHALL POLAKOFF, PSYD is a Psychologist healthcare provider located in OTTAWA, Illinois. NPI 1437237443 is currently active in the NPPES registry. Verify at CMS.

Psychologist · OTTAWA, IL

Registration Details

NPI Number
1437237443
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.986323950962 yrs)
Last Updated
Aug 14, 2012
Sole Proprietor
Yes

Practice Information

Address
2590 COVEL BLUFF RD
OTTAWA, IL, 613509260
Browse IL providers · Browse ZIP 61350
Phone
8154340806
Fax
8154340806
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.