Candace Poss
Individual provider Active NPI Speech-Language Pathologist · Elba, NE
NPI 1427428002 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1427428002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2014005459 (NE)
- Practice address
- 1253 Alexander Ave
Elba, NE 68835-3036 - Phone
- (402) 920-3453
- NPI assigned
- Sep 25, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014005459 | NE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2014005459 | NE | Yes |
Addresses
Primary practice location
1253 Alexander Ave
Elba, NE 68835-3036
Mailing address
1253 Alexander Ave
Elba, NE 68835-3036
Phone (402) 920-3453
Other providers in Elba, NE
All providers in Elba, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. 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.