| Doctor Name: | DR. PAUL LOUIS CANDIDO |
| NPI Number: | 1790885846 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 0480000412 |
| Business Practice Address: | 145 Pine Haven Shores Rd Suite 2032 Shelburne, VT - 054827703 |
| Business Phone Number: | 8028644513 |
| Business Fax Number: | 8029855061 |
| Mailing Address: | 145 Pine Haven Shores Rd, Suite 2032 SHELBURNE |
| State: | VT |
| Postal Code: | 054827703 |
| Phone Number: | 8028644513 |
| Fax Number: | 8029855061 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0480000412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |