Provider Demographics
NPI:1639562564
Name:RAPPAHANNOCK CO. PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:RAPPAHANNOCK CO. PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF SPED
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:540-227-0259
Mailing Address - Street 1:6 SCHOOL HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22747-1907
Mailing Address - Country:US
Mailing Address - Phone:540-227-0259
Mailing Address - Fax:540-987-8896
Practice Address - Street 1:6 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:VA
Practice Address - Zip Code:22747-1907
Practice Address - Country:US
Practice Address - Phone:540-227-0259
Practice Address - Fax:540-987-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003493235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========Medicaid