Healthcare Provider Details

I. General information

NPI: 1023357993
Provider Name (Legal Business Name): LENAPE REGIONAL HIGH SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 WILLOW GROVE RD
SHAMONG NJ
08088-8961
US

IV. Provider business mailing address

93 WILLOW GROVE RD
SHAMONG NJ
08088-8961
US

V. Phone/Fax

Practice location:
  • Phone: 609-268-2000
  • Fax: 609-268-8971
Mailing address:
  • Phone: 609-268-2000
  • Fax: 609-268-8971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES H HAGER
Title or Position: SCHOOL BUSINESS ADMINISTRATOR
Credential:
Phone: 609-268-2000