Healthcare Provider Details

I. General information

NPI: 1285670182
Provider Name (Legal Business Name): MUHLENBERG SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 E BELLEVUE AVE
LAURELDALE PA
19605-1701
US

IV. Provider business mailing address

827 E BELLEVUE AVE
LAURELDALE PA
19605-1701
US

V. Phone/Fax

Practice location:
  • Phone: 610-921-8034
  • Fax: 484-334-6520
Mailing address:
  • Phone: 610-921-8034
  • Fax: 484-334-6520

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. THERESA D HAUGHT
Title or Position: SUPERINTENDENT
Credential: ED.D.
Phone: 610-921-8071