Doctor Name: | MS. CANDACE MARIE SHACKELFORD |
NPI Number: | 1083851927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 12083093 |
Business Practice Address: | 121 E Cedar St Fl 4 Florence, SC - 295062576 |
Business Phone Number: | 8436613426 |
Business Fax Number: | 8436613599 |
Mailing Address: | 121 E Cedar St Fl 4, FLORENCE |
State: | SC |
Postal Code: | 295062576 |
Phone Number: | 8436613426 |
Fax Number: | 8436613599 |
NPI Enumeration Date: | 01/14/2009 |
NPI Last Update Date: | 01/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12083093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |