Provider Demographics
NPI:1962690776
Name:UNION R-XI SCHOOL DISRTICT
Entity type:Organization
Organization Name:UNION R-XI SCHOOL DISRTICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:636-583-3152
Mailing Address - Street 1:2 E SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1840
Mailing Address - Country:US
Mailing Address - Phone:636-583-3152
Mailing Address - Fax:636-583-8173
Practice Address - Street 1:2 E SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1840
Practice Address - Country:US
Practice Address - Phone:636-583-3152
Practice Address - Fax:636-583-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)