Provider Demographics
NPI:1700810082
Name:MARY WALKER SCHOOL DISTRICT
Entity type:Organization
Organization Name:MARY WALKER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCH./SPECIAL ED. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ESA
Authorized Official - Phone:509-258-4750
Mailing Address - Street 1:500 N 4TH STREET
Mailing Address - Street 2:PO BOX 159
Mailing Address - City:SPRINGDALE
Mailing Address - State:WA
Mailing Address - Zip Code:99173
Mailing Address - Country:US
Mailing Address - Phone:509-258-7357
Mailing Address - Fax:509-258-7756
Practice Address - Street 1:500 N 4TH STREET
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:WA
Practice Address - Zip Code:99173
Practice Address - Country:US
Practice Address - Phone:509-258-7357
Practice Address - Fax:509-258-7756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441777Medicaid