Provider Demographics
NPI:1396181087
Name:NEWBERRY COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NEWBERRY COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MCNEACE
Authorized Official - Last Name:ASHMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC-SLP
Authorized Official - Phone:803-321-2651
Mailing Address - Street 1:7288 US HIGHWAY 176
Mailing Address - Street 2:
Mailing Address - City:POMARIA
Mailing Address - State:SC
Mailing Address - Zip Code:29126-9423
Mailing Address - Country:US
Mailing Address - Phone:803-321-2651
Mailing Address - Fax:803-321-2652
Practice Address - Street 1:7288 US HIGHWAY 176
Practice Address - Street 2:
Practice Address - City:POMARIA
Practice Address - State:SC
Practice Address - Zip Code:29126-9423
Practice Address - Country:US
Practice Address - Phone:803-321-2651
Practice Address - Fax:803-321-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3320251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC=========Medicaid