Provider Demographics
NPI:1326589433
Name:CDC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CDC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CALKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:225-216-9422
Mailing Address - Street 1:740 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6511
Mailing Address - Country:US
Mailing Address - Phone:225-216-9422
Mailing Address - Fax:225-216-1260
Practice Address - Street 1:740 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6511
Practice Address - Country:US
Practice Address - Phone:225-216-9422
Practice Address - Fax:225-216-1260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA586103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty