Provider Demographics
NPI:1760427306
Name:NORTHEAST BRADFORD SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHEAST BRADFORD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCH/SPECIAL ED COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-744-2521
Mailing Address - Street 1:RR 1 BOX 211B
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:PA
Mailing Address - Zip Code:18837-9505
Mailing Address - Country:US
Mailing Address - Phone:570-744-2521
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 211B
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:PA
Practice Address - Zip Code:18837-9505
Practice Address - Country:US
Practice Address - Phone:570-744-2521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
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
PA0014536730001Medicaid