Provider Demographics
NPI:1457408593
Name:SOUTH FAYETTE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUTH FAYETTE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:TUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-221-4542
Mailing Address - Street 1:2250 OLD OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-2580
Mailing Address - Country:US
Mailing Address - Phone:412-221-4542
Mailing Address - Fax:412-693-2883
Practice Address - Street 1:2250 OLD OAKDALE RD
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:PA
Practice Address - Zip Code:15057-2580
Practice Address - Country:US
Practice Address - Phone:412-221-4542
Practice Address - Fax:412-693-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014469730001Medicaid