Candice Joan Becerra in Farmingville - Speech-language Pathologist
Candice Joan Becerra - NPI 1124167655
Candice Joan Becerra is a Speech-language Pathologist in Farmingville, New York. Candice Joan Becerra practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Candice Joan Becerra is 1124167655. The last update date is 2007-07-08.
Candice Joan Becerra's current location address is 15 Fleetwood Dr, Farmingville, New York. You can contact this provider via phone number 6318461552. The mailing address for Candice Joan Becerra is 15 Fleetwood Dr, Farmingville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Joan Becerra |
|---|---|
| Address | 15 Fleetwood Dr, Farmingville, New York |
| Phone Number | 6318461552 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSCCC-SLP |
NPI Number Detail
| NPI Number | 1124167655 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Fleetwood Dr |
|---|---|
| City | Farmingville |
| State | New York (NY) |
| Post Code | 117382811 |
| Phone Number | 6318461552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3071 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Candice Joan Becerra's unique identification number?
The Candice Joan Becerra has been assigned the NPI (National Provider Identifier) Number 1124167655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Candice Joan Becerra?
The Candice Joan Becerra is situated at 15 Fleetwood Dr, in the city of Farmingville, state of NY, with the zip code 117382811.
What is the Candice Joan Becerra's specialty and taxonomy code?
The Candice Joan Becerra's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date was the 1124167655 assigned to Candice Joan Becerra?
The Candice Joan Becerra was issued its 1124167655 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Candice Joan Becerra most recently updated or revised?
The details related to Candice Joan Becerra, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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