Provider Demographics
NPI:1811234057
Name:SEQUIM SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SEQUIM SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:C
Authorized Official - Last Name:CROFT
Authorized Official - Suffix:
Authorized Official - Credentials:MAED CCC-SLP
Authorized Official - Phone:360-582-3280
Mailing Address - Street 1:503 N SEQUIM AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3161
Mailing Address - Country:US
Mailing Address - Phone:360-582-3280
Mailing Address - Fax:360-683-6303
Practice Address - Street 1:503 N SEQUIM AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3161
Practice Address - Country:US
Practice Address - Phone:360-582-3280
Practice Address - Fax:360-683-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60279050251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)