Provider Demographics
NPI:1649005034
Name:LOBO, ANDREA CANDIDA
Entity type:Individual
Prefix:
First Name:ANDREA CANDIDA
Middle Name:
Last Name:LOBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9779 GAYLORD PKWY APT 310
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8988
Mailing Address - Country:US
Mailing Address - Phone:209-850-6912
Mailing Address - Fax:
Practice Address - Street 1:4949 ARBOR GLEN RD
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2430
Practice Address - Country:US
Practice Address - Phone:209-850-6912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist