Doctor Name: | CANDICE LEIGH MASTERS |
NPI Number: | 1396800439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 5892 |
Business Practice Address: | 206 Sumner St Apt 4 Newton, MA - 024591964 |
Business Phone Number: | 6176860210 |
Business Fax Number: | 6179162642 |
Mailing Address: | 206 Sumner St Apt 4, NEWTON |
State: | MA |
Postal Code: | 024591964 |
Phone Number: | 6176860210 |
Fax Number: | 6179162642 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |