Organization Name: | PERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT |
NPI Number: | 1063652626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN GORMAN (DIRECTOR OF PUPIL SERVICES) |
Mailing Address: | 140 E Indiana Ave Perrysburg |
State: | OH US |
Postal Code: | 435512261 |
Phone Number: | 4198749131 |
Fax Number: | 4198728820 |
NPI Enumeration Date: | 02/23/2009 |
NPI Last Update Date: | 02/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH1229721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |