Dr. Zena Denise Polly
Clinical Child & Adolescent Psychologist
111 Pacifica Suite 125
Irvine
, California 92618-3310
Dr. Zena Denise Polly
Clinical Child & Adolescent Psychologist
111 Pacifica Suite 125
Irvine
, California 92618-3310
(949) 450-8270
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Zena Denise Polly
- 111 Pacifica Suite 125
- Irvine, CA
- Zip : 92618-7420
- Fax : (949) 450-8270
- Phone : (949) 450-8270
Second Address
- Dr. Zena Denise Polly
- 111 Pacifica Suite 125
- Irvine, CA
- Zip : 92618-3310
- Fax : (949) 450-8270
- Phone : (949) 450-8270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY 10702 | CA |
National Provider Identifier
| NPI | 1063632313 |
|---|---|
| Provider Name | Dr. Zena Denise Polly |
| First Address | Irvine, CA 92618-7420 |
| Second Address | Irvine, CA 92618-3310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2007 |
| Last Update Date | 07/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.