| Doctor Name: | MRS. CANDACE KAY CHILDERS |
| NPI Number: | 1013040104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 1477 |
| Business Practice Address: | 145 W Parker Rd Ste A Morganton, NC - 286554649 |
| Business Phone Number: | 8284335177 |
| Business Fax Number: | 8284331127 |
| Mailing Address: | 145 W Parker Rd Ste A, MORGANTON |
| State: | NC |
| Postal Code: | 286554649 |
| Phone Number: | 8284335177 |
| Fax Number: | 8284331127 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | 1477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |