Healthcare Provider Details

I. General information

NPI: 1083537849
Provider Name (Legal Business Name): LIVE OAK UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 PENNINGTON RD
LIVE OAK CA
95953-2469
US

IV. Provider business mailing address

2201 PENNINGTON RD
LIVE OAK CA
95953-2469
US

V. Phone/Fax

Practice location:
  • Phone: 530-695-5400
  • Fax:
Mailing address:
  • Phone: 530-695-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: GLENN HOUSTON
Title or Position: PSYCHOLOGIST
Credential:
Phone: 530-682-2546