Provider Demographics
NPI:1013037670
Name:WILSON PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:WILSON PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:918-652-3374
Mailing Address - Street 1:8867 CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:HENRYETTA
Mailing Address - State:OK
Mailing Address - Zip Code:74437-1452
Mailing Address - Country:US
Mailing Address - Phone:918-562-3374
Mailing Address - Fax:918-652-8140
Practice Address - Street 1:8867 CHESTNUT RD
Practice Address - Street 2:
Practice Address - City:HENRYETTA
Practice Address - State:OK
Practice Address - Zip Code:74437-1452
Practice Address - Country:US
Practice Address - Phone:918-562-3374
Practice Address - Fax:918-652-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty