Provider Demographics
NPI:1629221619
Name:HESS, CANDACE KAY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:KAY
Last Name:HESS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:165 BROAD STREET
Mailing Address - Street 2:NEW HAMPSHIRE SCHOOL ADMINISTRATIVE UNIT #6
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-3611
Mailing Address - Country:US
Mailing Address - Phone:603-543-4200
Mailing Address - Fax:
Practice Address - Street 1:2 SUMMIT STREET
Practice Address - Street 2:BLUFF ELEMENTARY SCHOOL
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-3611
Practice Address - Country:US
Practice Address - Phone:603-543-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1258OtherOFFICE OF LICENSED ALLIED HEALTH PROFESSIONALS
NY011294-1OtherSTATE EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES
VT6-84OtherSTANDARDS BOARD FOR PROFESSIONAL EDUCATORS
09145778OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION