Provider Demographics
NPI:1114560935
Name:TOWN & COUNTRY SCHOOL INC.
Entity Type:Organization
Organization Name:TOWN & COUNTRY SCHOOL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEVAUN
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:ETIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-296-3113
Mailing Address - Street 1:8906 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-3404
Mailing Address - Country:US
Mailing Address - Phone:918-296-3113
Mailing Address - Fax:918-298-8175
Practice Address - Street 1:8906 E 34TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-3404
Practice Address - Country:US
Practice Address - Phone:918-296-3113
Practice Address - Fax:918-298-8175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech