Organization
PANTHER VALLEY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MICHALIK (SUPERVISOR OF SPECIAL EDUCATION)
(570) 645-0386
Entity
Organization
Contact information
Practice address
1 PANTHER WAY, LANSFORD, PA 18232-1929
(570) 645-3176
(570) 645-2507
Mailing address
1 PANTHER WAY, LANSFORD, PA 18232-1929
(570) 645-3176
(570) 645-2507
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
199300216
PA
235Z00000X
Speech-Language Pathologist
170422512
PA
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Enumeration date
05/01/2007
Last updated
01/08/2016
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