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

Individual provider Speech-Language Pathologist · NPI 1154970374

Sophia Polaris, MS, CCC-SLP is a Speech-Language Pathologist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
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

5219 88th Ave
Kenosha, WI 53144-7468
Phone: (262) 653-0850
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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 · Licence 4584 (WI)

Record details

NPI number1154970374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

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