Healthcare Provider Details

I. General information

NPI: 1396357935
Provider Name (Legal Business Name): HANCOCK COUNTY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3248 PENNSYLVANIA AVENUE
WEIRTON WV
26062
US

IV. Provider business mailing address

6 HUSTON ST
MONESSEN PA
15062-2034
US

V. Phone/Fax

Practice location:
  • Phone: 304-748-8370
  • Fax:
Mailing address:
  • Phone: 724-469-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ERICA SAUER
Title or Position: DIRECTOR OF SPECIAL PROGRAMS
Credential:
Phone: 304-564-3411