Provider Demographics
NPI:1235219460
Name:MILFORD BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MILFORD BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PUPIL PERSONNEL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:CIVITELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-783-3411
Mailing Address - Street 1:70 W RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3317
Mailing Address - Country:US
Mailing Address - Phone:203-783-3410
Mailing Address - Fax:203-783-3466
Practice Address - Street 1:70 W RIVER ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3317
Practice Address - Country:US
Practice Address - Phone:203-783-3410
Practice Address - Fax:203-783-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty