Healthcare Provider Details

I. General information

NPI: 1336233162
Provider Name (Legal Business Name): ESSEX COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 HIGH SCHOOL CIRCLE
TAPPAHANNOCK VA
22560
US

IV. Provider business mailing address

833 HIGH SCHOOL CIRCLE
TAPPAHANNOCK VA
22560
US

V. Phone/Fax

Practice location:
  • Phone: 804-443-4081
  • Fax:
Mailing address:
  • Phone: 804-443-4301
  • Fax: 804-443-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH HAYNIE KING
Title or Position: NURSING SUPERVISOR
Credential: R.N.
Phone: 804-443-4081