Provider Demographics
NPI:1164734901
Name:LABREE, CANDI LEE (MA, SLP)
Entity Type:Individual
Prefix:
First Name:CANDI
Middle Name:LEE
Last Name:LABREE
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:CANDI
Other - Middle Name:LEE
Other - Last Name:HARTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1372 NEWBURY NECK RD
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:ME
Mailing Address - Zip Code:04684-3819
Mailing Address - Country:US
Mailing Address - Phone:207-356-8211
Mailing Address - Fax:
Practice Address - Street 1:1372 NEWBURY NECK RD
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:ME
Practice Address - Zip Code:04684-3819
Practice Address - Country:US
Practice Address - Phone:207-356-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEST2019235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist