Provider Demographics
NPI:1184847626
Name:DEVELOPMENTAL EDUCATION SERVICES OF MONROE COUNTY INC
Entity Type:Organization
Organization Name:DEVELOPMENTAL EDUCATION SERVICES OF MONROE COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FOLK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-424-5410
Mailing Address - Street 1:796 LINDBERGH AVENUE
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-1925
Mailing Address - Country:US
Mailing Address - Phone:570-424-5410
Mailing Address - Fax:570-424-5664
Practice Address - Street 1:796 LINDBERGH AVENUE
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1925
Practice Address - Country:US
Practice Address - Phone:570-424-5410
Practice Address - Fax:570-424-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000021060012Medicaid