Provider Demographics
NPI:1427674571
Name:COMMUNICATION CONNECTION, INC.
Entity type:Organization
Organization Name:COMMUNICATION CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:WILCOX
Authorized Official - Last Name:BARRILLEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MSE CCC/SLP
Authorized Official - Phone:501-269-2691
Mailing Address - Street 1:5265 BURNT PINE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3461
Mailing Address - Country:US
Mailing Address - Phone:501-269-2691
Mailing Address - Fax:
Practice Address - Street 1:5265 BURNT PINE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3461
Practice Address - Country:US
Practice Address - Phone:501-269-2691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty