Provider Demographics
NPI:1912490269
Name:PULASKI COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:PULASKI COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS, CCC-SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ABSHER
Authorized Official - Last Name:BROOKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-616-8766
Mailing Address - Street 1:202 N. WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301
Mailing Address - Country:US
Mailing Address - Phone:540-994-2544
Mailing Address - Fax:540-994-2560
Practice Address - Street 1:202 N. WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301
Practice Address - Country:US
Practice Address - Phone:540-994-2544
Practice Address - Fax:540-994-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006583235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty