Cepeda, Candice

Cepeda, Candice is an individual health care provider with primary practice located at 118 Spring St , Port Jefferson NY 11777-1817. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cepeda, Candice can be contacted via phone (631) 476-0564.

Contact Information

Primary practice address
118 Spring St Port Jefferson NY 11777-1817
Phone: (631) 476-0564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 024934-1 New York

Profile Details

NPI number 1972903946
LBN Legal business name Cepeda, Candice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Nov 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972903946 NPPES
New York Other 024934-1 NEW YORK STATE SPEECH LANGUAGE PATHOLOGIST LICENSE

Popular Providers