MEDICARE: MONITEAU SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912933136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONITEAU SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	391 HOOKER RD
Second Line	:
City	:	WEST SUNBURY
State	:	PA
Zip	:	16061-2713
Country	:	US
Telephone Number	:	412-637-2321
Fax Number	:	412-637-3877

Provider Business Practice Location Address
First Line	:	391 HOOKER RD
Second Line	:
City	:	WEST SUNBURY
State	:	PA
Zip	:	16061-2713
Country	:	US
Telephone Number	:	412-637-2321
Fax Number	:	412-637-3877

Authorized Official
Title or Position	:	ACCESS COORDINATOR/SCHOOL PSYCH.
Name	:	DR. MINDYANNE B SHIREY
Credential	:	PH.D.
Telephone Number	:	724-637-2321

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	08/22/2020

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Directions to “MONITEAU SCHOOL DISTRICT ” Practice Location

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