Provider Demographics
NPI:1487902425
Name:PANGBURN SCHOOL DISTRICT
Entity type:Organization
Organization Name:PANGBURN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRYHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-728-4511
Mailing Address - Street 1:1100 SHORT ST
Mailing Address - Street 2:
Mailing Address - City:PANGBURN
Mailing Address - State:AR
Mailing Address - Zip Code:72121-8836
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 SHORT ST
Practice Address - Street 2:
Practice Address - City:PANGBURN
Practice Address - State:AR
Practice Address - Zip Code:72121-8836
Practice Address - Country:US
Practice Address - Phone:501-728-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty