Provider Demographics
NPI:1891911996
Name:BOARD OF EDUCATION, LAKEHURST
Entity Type:Organization
Organization Name:BOARD OF EDUCATION, LAKEHURST
Other - Org Name:LAKEHURST SCHOOL DISTRICT/LAKEHURST ELEM. SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:CHILD STUDY TEAM COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-657-9510
Mailing Address - Street 1:301 UNION AVENUE
Mailing Address - Street 2:CHILD STUDY TEAM OFFICE - LAKEHURST ELEMENTARY SCHOOL
Mailing Address - City:LAKEHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:08733-2907
Mailing Address - Country:US
Mailing Address - Phone:732-657-9510
Mailing Address - Fax:732-657-1089
Practice Address - Street 1:301 UNION AVE
Practice Address - Street 2:CHILD STUDY TEAM OFFICE - LAKEHURST ELEMENTARY SCHOOL
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733-2935
Practice Address - Country:US
Practice Address - Phone:732-657-9510
Practice Address - Fax:732-657-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)