Candace Gandulla, MA CCC-SLP
NPI #1568860948 in Port Jefferson, New York
Provider Information
- NPI Number
- 1568860948
- Entity Type
- Individual
- Name
- Candace Gandulla, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Dec 16, 2014
- Last Updated
- Dec 20, 2016
Practice Location
- Address
- 450 MYRTLE AVE
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1739
- Phone
- (631) 474-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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