Provider Demographics
NPI:1811785009
Name:CHAFFIN, LILA HAMILTON (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:HAMILTON
Last Name:CHAFFIN
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LILA
Other - Middle Name:ELIZABETH
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3115 DUNNOCK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6768
Mailing Address - Country:US
Mailing Address - Phone:704-654-5813
Mailing Address - Fax:
Practice Address - Street 1:202 N FIFTH ST STE A
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-2500
Practice Address - Country:US
Practice Address - Phone:919-323-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30003818235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist