Provider Demographics
NPI:1841937992
Name:BECK, CANDACE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 N 325 E
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-8312
Mailing Address - Country:US
Mailing Address - Phone:219-208-4590
Mailing Address - Fax:
Practice Address - Street 1:425 N 325 E
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-8312
Practice Address - Country:US
Practice Address - Phone:219-208-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist