Healthcare Provider Details

I. General information

NPI: 1588656375
Provider Name (Legal Business Name): CAPLAND CENTER FOR COMMUNICATION DISORDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 36TH ST
PORT ARTHUR TX
77642-5412
US

IV. Provider business mailing address

3049 36TH ST
PORT ARTHUR TX
77642-5412
US

V. Phone/Fax

Practice location:
  • Phone: 409-983-1651
  • Fax: 409-983-1043
Mailing address:
  • Phone: 409-983-1651
  • Fax: 409-983-1043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL PATTESON HEBERT
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.,CCC-SLP
Phone: 409-983-1651