| Leach Public School | |
|
55979 S 530 Rd Rose OK 74364-1665 | |
| (918) 868-2277 | |
| Not Available |
| Full Name | Leach Public School |
|---|---|
| Speciality | Psychologist - School |
| Location | 55979 S 530 Rd, Rose, Oklahoma |
| Authorized Official Name and Position | Jimmy Reynolds (SUPERINTENDENT) |
| Authorized Official Contact | 9188682277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leach Public School 55979 S 530 Rd Rose OK 74364-1665 | Leach Public School 55979 S 530 Rd Rose OK 74364-1665 Ph: (918) 868-2277 |
| NPI Number | 1740960376 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740960376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 101YS0200X | Counselor - School | (NU) | Secondary |
| 103TS0200X | Psychologist - School | (NU) | Primary |