Provider Demographics
NPI:1699043984
Name:ASPEN ACADEMY
Entity type:Organization
Organization Name:ASPEN ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-226-5940
Mailing Address - Street 1:15033 HIGHWAY 13 S
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-2144
Mailing Address - Country:US
Mailing Address - Phone:952-226-5940
Mailing Address - Fax:952-226-5949
Practice Address - Street 1:15033 HIGHWAY 13 S
Practice Address - Street 2:SUITE 2000
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-2144
Practice Address - Country:US
Practice Address - Phone:952-226-5940
Practice Address - Fax:952-226-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4184251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)