Doctor Name: | CANDICE L BARNETTE |
NPI Number: | 1285713743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC-S |
License Number: | 001232 |
Business Practice Address: | 6815 Forest Park Dr Suite 124 Savannah, GA - 314061510 |
Business Phone Number: | 9123524045 |
Business Fax Number: | 9123524045 |
Mailing Address: | 6815 Forest Park Dr, Suite 124 SAVANNAH |
State: | GA |
Postal Code: | 314061510 |
Phone Number: | 9123524045 |
Fax Number: | 9123524045 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |