Provider Demographics
NPI:1508462078
Name:MATTHEWS, CANDACE JOY (AUD)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:JOY
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:JOY
Other - Last Name:NEUFVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4191 BELLAIRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4191 BELLAIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1016
Practice Address - Country:US
Practice Address - Phone:713-795-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81736231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist