Provider Demographics
NPI:1629163415
Name:PEN ARGYL AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PEN ARGYL AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:D'HUYVETTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-863-3191
Mailing Address - Street 1:1620 TEELS RD
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072-9734
Mailing Address - Country:US
Mailing Address - Phone:610-863-9093
Mailing Address - Fax:610-863-3754
Practice Address - Street 1:1620 TEELS RD
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-9734
Practice Address - Country:US
Practice Address - Phone:610-863-9093
Practice Address - Fax:610-863-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
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
PA0015893120001Medicaid