Provider Demographics
NPI:1376387365
Name:CENTER FOR ADVANCEMENT OF NEXTGEN DEAF
Entity type:Organization
Organization Name:CENTER FOR ADVANCEMENT OF NEXTGEN DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HISSAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:256-489-2060
Mailing Address - Street 1:2004 AIRPORT RD SW STE 210
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5848
Mailing Address - Country:US
Mailing Address - Phone:256-489-2060
Mailing Address - Fax:
Practice Address - Street 1:2004 AIRPORT RD SW STE 210
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5848
Practice Address - Country:US
Practice Address - Phone:256-489-2060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty