Provider Demographics
NPI:1154370252
Name:THE TIMOTHY SCHOOL
Entity type:Organization
Organization Name:THE TIMOTHY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-725-0755
Mailing Address - Street 1:973 OLD LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-1221
Mailing Address - Country:US
Mailing Address - Phone:610-725-0755
Mailing Address - Fax:
Practice Address - Street 1:973 OLD LANCASTER RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-1221
Practice Address - Country:US
Practice Address - Phone:610-725-0755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008256970001Medicaid