Healthcare Provider Details

I. General information

NPI: 1023366085
Provider Name (Legal Business Name): TULARE COUNTY OFFICE OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2012
Last Update Date: 08/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28050 ROAD 148 ROOM 20
VISALIA CA
93292-9297
US

IV. Provider business mailing address

PO BOX 5091
VISALIA CA
93278-5091
US

V. Phone/Fax

Practice location:
  • Phone: 559-747-3984
  • Fax: 559-747-3642
Mailing address:
  • Phone: 559-730-2910
  • Fax: 559-747-3984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberPSY7668
License Number StateCA

VIII. Authorized Official

Name: DR. EILEEN WHELAN
Title or Position: ADMINISTRATOR
Credential: PH.D.
Phone: 559-730-2910