Provider Demographics
NPI:1023408713
Name:THE CENTER FOR COMMUNICATION AND ADVOCACY (CCA), LLC
Entity type:Organization
Organization Name:THE CENTER FOR COMMUNICATION AND ADVOCACY (CCA), LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:919-757-6420
Mailing Address - Street 1:7815 CAPE CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8303
Mailing Address - Country:US
Mailing Address - Phone:919-757-6420
Mailing Address - Fax:866-313-5642
Practice Address - Street 1:1000 CENTRE GREEN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2283
Practice Address - Country:US
Practice Address - Phone:919-757-6420
Practice Address - Fax:866-313-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1404018235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty