Provider Demographics
NPI:1972631232
Name:ROUND VALLEY UNIFED SCHOOL DISTRICT
Entity type:Organization
Organization Name:ROUND VALLEY UNIFED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-333-6684
Mailing Address - Street 1:P.O. BOX 610
Mailing Address - Street 2:
Mailing Address - City:SPRINGERVILLE
Mailing Address - State:AZ
Mailing Address - Zip Code:85938
Mailing Address - Country:US
Mailing Address - Phone:928-333-6684
Mailing Address - Fax:928-333-6685
Practice Address - Street 1:165 S. BROWN
Practice Address - Street 2:
Practice Address - City:EAGAR
Practice Address - State:AZ
Practice Address - Zip Code:85925
Practice Address - Country:US
Practice Address - Phone:928-333-6684
Practice Address - Fax:928-333-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)