Provider Demographics
NPI:1295865780
Name:CITY OF BEVERLY
Entity Type:Organization
Organization Name:CITY OF BEVERLY
Other - Org Name:BEVERLY PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PUPIL PERSONNEL SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-921-6100
Mailing Address - Street 1:502 CABOT ST
Mailing Address - Street 2:RM 163
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2538
Mailing Address - Country:US
Mailing Address - Phone:978-921-6100
Mailing Address - Fax:978-927-9463
Practice Address - Street 1:502 CABOT ST
Practice Address - Street 2:RM 163
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2538
Practice Address - Country:US
Practice Address - Phone:978-921-6100
Practice Address - Fax:978-927-9463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)