Provider Demographics
NPI:1184855157
Name:DUCHESNE COUNTY SCHOOL DISTRICT
Entity type:Organization
Organization Name:DUCHESNE COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-725-4602
Mailing Address - Street 1:900 E LAGOON ST # 124-6
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:UT
Mailing Address - Zip Code:84066-3082
Mailing Address - Country:US
Mailing Address - Phone:435-725-4602
Mailing Address - Fax:435-725-4511
Practice Address - Street 1:900 E LAGOON ST # 124-6
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:UT
Practice Address - Zip Code:84066-3082
Practice Address - Country:US
Practice Address - Phone:435-725-4602
Practice Address - Fax:435-725-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)