Individual ProviderShandi PolakSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1905 Leary Ln, Victoria, TX 77901-2899(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Shandi Polak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861118796Provider TypeIndividualFull NamePolak, ShandiCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date10/12/2022Last Updated10/12/2022Contact InformationPractice LocationPractice Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901-2818Phone(361) 573-0731Fax(361) 573-1594Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense118267Texas