Candace Gandulla, MA CCC-SLP

NPI 1568860948 · on the registry since 2014

Practice

Address: 450 Myrtle Ave
Port Jefferson, NY 11777
Phone: (631) 474-3400
Organisation at this address: Maryhaven Center Of Hope Inc.
Maryhaven Center Of Hope Inc.
Maryhaven Center Of Hope Inc.
Maryhaven Center Of Hope Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York