Provider Demographics
NPI:1568899730
Name:CANDLER, PATRICIA B (EDD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:B
Last Name:CANDLER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:B
Other - Last Name:CANDLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:101 TRAVIS ST
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-2527
Mailing Address - Country:US
Mailing Address - Phone:318-574-1587
Mailing Address - Fax:
Practice Address - Street 1:101 TRAVIS ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-2527
Practice Address - Country:US
Practice Address - Phone:318-574-1587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator