Most Relevant Information
Provider Data
| NPI Number: | 1003235847 |
| Provider Name: | CANDACE HARRELSON M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 109900 |
Most Important Dates
| Enumeration Date: | 04/09/2014 |
| Last Updated: | 09/22/2023 |
Provider Practice Location
32207 TAMINA RD # SITEA
MAGNOLIA
TX
773542556
Practice Location Phone/Fax
| Phone: | 8327346131 |
| Fax: |
Provider Mailing Location
32207 TAMINA RD # SITEA
MAGNOLIA
TX
773542556
Provider Mailing Phone/Fax
| Phone: | 8327346131 |
| Fax: |