MS. CANDACE REVERE, CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1215119094

Practice Address

11404 JERUSALEM BAPTIST CHURCH RD
Hammond, LA 70403

Phone: (985) 402-0507

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 5664 (LA)

Frequently Asked Questions

NPI 1215119094 is the National Provider Identifier for MS. CANDACE REVERE, CCC-SLP, a Speech-Language Pathologist provider located in Hammond, LA. This NPI was enumerated on December 3, 2007.
MS. CANDACE REVERE, CCC-SLP practices at 11404 JERUSALEM BAPTIST CHURCH RD, Hammond, LA 70403.

Quick Facts

NPI
1215119094
Type
Individual
Enumerated
Dec 3, 2007
Last Updated
Aug 18, 2020

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