Provider Demographics
NPI:1699864181
Name:QUAPAW PUBLIC SCHOOLS
Entity type:Organization
Organization Name:QUAPAW PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-674-2236
Mailing Address - Street 1:305 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:QUAPAW
Mailing Address - State:OK
Mailing Address - Zip Code:74363-2869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 W 1ST ST
Practice Address - Street 2:
Practice Address - City:QUAPAW
Practice Address - State:OK
Practice Address - Zip Code:74363-2869
Practice Address - Country:US
Practice Address - Phone:918-674-2236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare