Provider Demographics
NPI:1588656375
Name:CAPLAND CENTER FOR COMMUNICATION DISORDERS, INC.
Entity Type:Organization
Organization Name:CAPLAND CENTER FOR COMMUNICATION DISORDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:PATTESON
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:409-983-1651
Mailing Address - Street 1:3049 36TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-5412
Mailing Address - Country:US
Mailing Address - Phone:409-983-1651
Mailing Address - Fax:409-983-1043
Practice Address - Street 1:3049 36TH ST
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5412
Practice Address - Country:US
Practice Address - Phone:409-983-1651
Practice Address - Fax:409-983-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0933135OtherCIGNA HEALTHCARE OF TX
TX15476OtherUTMB - CHIPS
TX0079CEOtherBCBS OF TEXAS
TX0933135OtherCIGNA HEALTHCARE OF TX
TX15476OtherUTMB - CHIPS
TX=========OtherUNITEDHEALTHCARE