Provider Demographics
NPI:1669554127
Name:WEBBERS FALLS PUBLIC SCHOOL
Entity type:Organization
Organization Name:WEBBERS FALLS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUDLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-464-2334
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:WEBBERS FALLS
Mailing Address - State:OK
Mailing Address - Zip Code:74470-0300
Mailing Address - Country:US
Mailing Address - Phone:918-464-2334
Mailing Address - Fax:918-464-2313
Practice Address - Street 1:206 GIBSON STREET
Practice Address - Street 2:
Practice Address - City:WEBBERS FALLS
Practice Address - State:OK
Practice Address - Zip Code:74470-0300
Practice Address - Country:US
Practice Address - Phone:918-464-2334
Practice Address - Fax:918-464-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty