Provider Demographics
NPI:1346471380
Name:THORP-FEATHER, CANDACE ANN (AUD)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:ANN
Last Name:THORP-FEATHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:ANN
Other - Last Name:THORP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3801 UNIVERSITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2503
Mailing Address - Country:US
Mailing Address - Phone:703-383-8130
Mailing Address - Fax:703-383-7353
Practice Address - Street 1:3801 UNIVERSITY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-383-8130
Practice Address - Fax:703-383-7353
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001401231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist