Healthcare Provider Details

I. General information

NPI: 1033207758
Provider Name (Legal Business Name): PLAINFIELD PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 NORWICH RD
PLAINFIELD CT
06374-1732
US

IV. Provider business mailing address

651 NORWICH RD
PLAINFIELD CT
06374-1732
US

V. Phone/Fax

Practice location:
  • Phone: 860-564-6401
  • Fax: 860-564-6477
Mailing address:
  • Phone: 860-564-6401
  • Fax: 860-564-6477

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: MRS. ANNE LANDRY
Title or Position: SPECIAL EDUCATION SUPERVISOR
Credential:
Phone: 860-564-6401