Provider Demographics
NPI:1760691737
Name:HALEDON PUBLIC SCHOOL
Entity Type:Organization
Organization Name:HALEDON PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-790-9000
Mailing Address - Street 1:120 BARBOUR ST
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1227
Mailing Address - Country:US
Mailing Address - Phone:973-790-9000
Mailing Address - Fax:973-942-5095
Practice Address - Street 1:120 BARBOUR ST
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1227
Practice Address - Country:US
Practice Address - Phone:973-790-9000
Practice Address - Fax:973-942-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6684009Medicaid