Healthcare Provider Details

I. General information

NPI: 1023133204
Provider Name (Legal Business Name): TEAYS VALLEY LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 CIRCLEVILLE AVE
ASHVILLE OH
43103-9638
US

IV. Provider business mailing address

385 CIRCLEVILLE AVE
ASHVILLE OH
43103-9638
US

V. Phone/Fax

Practice location:
  • Phone: 740-983-5011
  • Fax:
Mailing address:
  • Phone: 740-983-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. KYLE WOLFE
Title or Position: ASSISTANT SUPERINTENDENT
Credential:
Phone: 740-983-5000