Provider Demographics
NPI:1639402217
Name:LAS VEGAS CHARTER SCHOOL OF THE DEAF
Entity type:Organization
Organization Name:LAS VEGAS CHARTER SCHOOL OF THE DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:702-475-4841
Mailing Address - Street 1:1951 S RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2974
Mailing Address - Country:US
Mailing Address - Phone:702-475-4841
Mailing Address - Fax:702-838-3323
Practice Address - Street 1:1951 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2974
Practice Address - Country:US
Practice Address - Phone:702-475-4841
Practice Address - Fax:702-838-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty