NPI 1558159434

Polly King, CPSP

Practitioner Peer Specialist Lafayette, IN

Practice location

Address: 914 South St, Lafayette, IN 47901-1416
Phone: (765) 742-1800
Mailing address: 811 S 23rd St, Lafayette, IN 47905-1620

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 4102 (IN)

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Registry record

NPI: 1558159434
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2025
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.