Provider Demographics
NPI:1639232218
Name:CAPLAND CENTER FOR COMMUNICATION DISORDERS, INC.
Entity Type:Organization
Organization Name:CAPLAND CENTER FOR COMMUNICATION DISORDERS, INC.
Other - Org Name:CAPLAND SPEECH THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:409-729-2227
Mailing Address - Street 1:2660 AERO DR
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-1528
Mailing Address - Country:US
Mailing Address - Phone:409-729-2227
Mailing Address - Fax:409-729-2001
Practice Address - Street 1:2660 AERO DR
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77640-1528
Practice Address - Country:US
Practice Address - Phone:409-729-2227
Practice Address - Fax:409-729-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155796901Medicaid
TX0079CEOtherBLUE CROSS BLUE SHIELD
TX0933135OtherCIGNA HEALTHCARE OF TEXAS
TX746049 USHCHOtherUTMB-CHIPS
TX746049 USHCHOtherUTMB-CHIPS
TX=========OtherTEXAS TRUE CHOICE
TX0933135OtherCIGNA HEALTHCARE OF TEXAS