Provider Demographics
NPI:1194610220
Name:CLOVERDALE UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:CLOVERDALE UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:PPS
Authorized Official - Phone:707-894-1940
Mailing Address - Street 1:129 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CLOVERDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95425-3620
Mailing Address - Country:US
Mailing Address - Phone:707-894-1940
Mailing Address - Fax:707-894-1946
Practice Address - Street 1:129 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CLOVERDALE
Practice Address - State:CA
Practice Address - Zip Code:95425-3620
Practice Address - Country:US
Practice Address - Phone:707-894-1940
Practice Address - Fax:707-894-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health