Centervilleabington CS

Organization Active NPI Local Education Agency (LEA) · Centerville, IN

NPI 1063539229 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1063539229
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
CENTERVILLEABINGTON CS
Practice address
115 W South St
Centerville, IN 47330-1436
Phone
(765) 855-5132
Fax
(765) 855-2524
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael E Moore, MA
Title
School Psychologist
Phone
(765) 855-5132

National Provider Directory

Locations

115 W South St
Centerville, IN 47330
Phone (765) 855-5132

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

115 W South St
Centerville, IN 47330-1436

Mailing address

115 W South St
Centerville, IN 47330-1436
Phone (765) 855-5132

Other providers in Centerville, IN

All providers in Centerville, IN · Local Education Agency (LEA) in Indiana

Sources for this page

Verify at the official NPI Registry.