1629221619 NPI number — MRS. CANDACE KAY HESS CCC-SLP

Table of content: MRS. CANDACE KAY HESS CCC-SLP (NPI 1629221619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629221619 NPI number — MRS. CANDACE KAY HESS CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HESS
Provider First Name:
CANDACE
Provider Middle Name:
KAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629221619
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
165 BROAD STREET
Provider Second Line Business Mailing Address:
NEW HAMPSHIRE SCHOOL ADMINISTRATIVE UNIT #6
Provider Business Mailing Address City Name:
CLAREMONT
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03743-3611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-543-4200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 SUMMIT STREET
Provider Second Line Business Practice Location Address:
BLUFF ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
CLAREMONT
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03743-3611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-543-4273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1258 . This is a "OFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 011294-1 . This is a "STATE EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6-84 . This is a "STANDARDS BOARD FOR PROFESSIONAL EDUCATORS" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 09145778 . This is a "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION" identifier . This identifiers is of the category "OTHER".




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