NPI 1285058800 · live from the CMS NPI Registry
Candice Adams
Speech-Language Pathologist, in Port Orange, FL. National Provider Identifier 1285058800, active.
NPI record
| NPI | 1285058800 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 |
| Practice phone | 386-756-4395 |
| Enumerated | February 18, 2014 |
| Last updated | February 18, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SA11062 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.