Provider Demographics
NPI:1144397639
Name:TONKAWA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:TONKAWA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANG. PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:580-628-2592
Mailing Address - Street 1:501 N PUBLIC ST
Mailing Address - Street 2:
Mailing Address - City:TONKAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74653-2503
Mailing Address - Country:US
Mailing Address - Phone:580-628-2592
Mailing Address - Fax:580-628-2594
Practice Address - Street 1:501 N PUBLIC ST
Practice Address - Street 2:
Practice Address - City:TONKAWA
Practice Address - State:OK
Practice Address - Zip Code:74653-2503
Practice Address - Country:US
Practice Address - Phone:580-628-2592
Practice Address - Fax:580-628-2594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)