Healthcare Provider Details

I. General information

NPI: 1063448595
Provider Name (Legal Business Name): SAUCON VALLEY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2097 POLK VALLEY ROAD
HELLERTOWN PA
18055
US

IV. Provider business mailing address

2097 POLK VALLEY ROAD
HELLERTOWN PA
18055
US

V. Phone/Fax

Practice location:
  • Phone: 610-838-7001
  • Fax: 610-838-6419
Mailing address:
  • Phone: 610-838-7001
  • Fax: 610-838-6419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SANDRA FELLIN
Title or Position: SUPERINTENDENT
Credential: EDD
Phone: 610-838-7001