Candice Glynn, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Grimes, IA
NPI 1194034736 · NPPES record last updated Sep 30, 2010
Key facts
- NPI
- 1194034736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2400 North East 11TH Street
Grimes, IA 50111-4710 - Phone
- (515) 537-7737
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | IA | Yes |
Addresses
Primary practice location
2400 North East 11TH Street
Grimes, IA 50111-4710
Mailing address
2400 NE 11TH St
Grimes, IA 50111-4710
Phone (515) 537-7737
Other providers in Grimes, IA
- Angie Friedmann
- Ted Friedmann
- Andrew Ryan Funk
- Jennifer Linn Gerrietts
- Caleb R Gilbertson
- Amanda Godfrey
- Matthew Goes
- Anna Gray
- Grimes Dental Enterprises, LLC
- Grimes Pediatric Dentistry P C
All providers in Grimes, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.