Provider Demographics
NPI:1346280187
Name:WELLSBORO AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WELLSBORO AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. COORDINATOR/SCH. PSY.
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:V
Authorized Official - Last Name:FEIL
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:570-724-0369
Mailing Address - Street 1:10 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901-1829
Mailing Address - Country:US
Mailing Address - Phone:570-724-0369
Mailing Address - Fax:570-724-6104
Practice Address - Street 1:10 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1829
Practice Address - Country:US
Practice Address - Phone:570-724-0369
Practice Address - Fax:570-724-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015007370001Medicaid