Provider Demographics
NPI:1972351351
Name:ISD #29 CLEVELAND COUNTY
Entity type:Organization
Organization Name:ISD #29 CLEVELAND COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR STUDENT SUPPORTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEARS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:405-366-5841
Mailing Address - Street 1:131 S FLOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5463
Mailing Address - Country:US
Mailing Address - Phone:405-363-5841
Mailing Address - Fax:405-573-3513
Practice Address - Street 1:131 S FLOOD AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5463
Practice Address - Country:US
Practice Address - Phone:405-363-5841
Practice Address - Fax:405-573-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)