Provider Demographics
NPI:1922241611
Name:DARMSTADTER, CANDICE H (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:H
Last Name:DARMSTADTER
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:MS
Other - First Name:CANDICE
Other - Middle Name:H
Other - Last Name:HARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCC-SLP
Mailing Address - Street 1:314 N HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960
Mailing Address - Country:US
Mailing Address - Phone:212-924-4653
Mailing Address - Fax:212-675-4037
Practice Address - Street 1:314 N HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:212-924-4653
Practice Address - Fax:212-675-4037
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-11
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist