Provider Demographics
NPI:1689099038
Name:NOBLE LOCAL SCHOOLS
Entity Type:Organization
Organization Name:NOBLE LOCAL SCHOOLS
Other - Org Name:SOUTHEAST REHAB SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:740-732-5661
Mailing Address - Street 1:1520 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9241
Mailing Address - Country:US
Mailing Address - Phone:740-732-5661
Mailing Address - Fax:740-439-3092
Practice Address - Street 1:20977 ZEP RD E
Practice Address - Street 2:
Practice Address - City:SARAHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43779-9702
Practice Address - Country:US
Practice Address - Phone:740-732-5661
Practice Address - Fax:740-439-3092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4802251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)