Provider Demographics
NPI:1720224181
Name:SCRANTON STATE SCHOOL FOR THE DEAF
Entity Type:Organization
Organization Name:SCRANTON STATE SCHOOL FOR THE DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONITA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:570-963-4040
Mailing Address - Street 1:1800 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1700
Mailing Address - Country:US
Mailing Address - Phone:570-963-4666
Mailing Address - Fax:579-963-4544
Practice Address - Street 1:1800 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-1700
Practice Address - Country:US
Practice Address - Phone:570-963-4666
Practice Address - Fax:579-963-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100002222 0001OtherMA #