Healthcare Provider Details

I. General information

NPI: 1700741907
Provider Name (Legal Business Name): SLATE VALLEY UNIFIED UNION SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MECHANIC ST.
FAIR HAVEN VT
05743-1048
US

IV. Provider business mailing address

33 MECHANIC ST.
FAIR HAVEN VT
05743-1048
US

V. Phone/Fax

Practice location:
  • Phone: 802-265-4905
  • Fax: 802-265-2158
Mailing address:
  • Phone: 802-265-4905
  • Fax: 802-265-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BROOKE J OLSEN-FARRELL
Title or Position: SUPERINTENDENT
Credential:
Phone: 802-265-4905