Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angel Dyke Polivka, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1679226724

Angel Dyke Polivka, MS, CCC-SLP is a Speech-Language Pathologist in Pleasant Grove, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

890 N 200 W
Pleasant Grove, UT 84062-1608
Phone: (812) 219-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1679226724
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 29, 2022
Last updated in NPPESJanuary 29, 2022
Certification dateJanuary 29, 2022

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