Provider Demographics
NPI:1902576192
Name:POLIARD, STEPHANIE (HHP)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:POLIARD
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:POLIARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HHP
Mailing Address - Street 1:4716 CASHEL CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-3504
Mailing Address - Country:US
Mailing Address - Phone:832-929-7965
Mailing Address - Fax:
Practice Address - Street 1:4716 CASHEL CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-3504
Practice Address - Country:US
Practice Address - Phone:832-929-7965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175F00000X, 171400000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath