=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346280187
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELLSBORO AREA SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 SHERMAN ST
-----------------------------------------------------
City | WELLSBORO
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16901-1829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-724-0369
-----------------------------------------------------
Fax | 570-724-6104
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 SHERMAN ST
-----------------------------------------------------
City | WELLSBORO
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16901-1829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-724-0369
-----------------------------------------------------
Fax | 570-724-6104
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPECIAL ED. COORDINATOR/SCH. PSY.
-----------------------------------------------------
Name | DR. LISA V FEIL
-----------------------------------------------------
Credential | PSY. D.
-----------------------------------------------------
Telephone | 570-724-0369
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------