Active NPIIndividual provider

Mrs. Candis A Bolden, MS/CCC-SLP

Speech-Language Pathologist, in Beverly, Massachusetts

NPI Number1063697845
Practice location
111 Dodge St, Beverly, MA 01915-1827
Fax
—
Last updated
December 31, 2007

Candis Ann Bolden is a Speech-Language Pathologist, based in Beverly, MA. Candis Ann Bolden practices in Beverly, MA and has the professional credentials of MS/CCC-SLP. The NPI Number for Candis Ann Bolden is 1063697845 and holds a License No. 2881 (MA). The current practice location address for Candis Ann Bolden is 111 Dodge St, Beverly, MA 01915-1827 and can be reached out via phone at 978-921-1182.

Provider Profile Details

NPI Number
1063697845
Provider Name
Candis Ann Bolden
Credential
MS/CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
111 Dodge St, Beverly, MA 01915-1827
Phone Number
978-921-1182
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Miss Candis Ann Rochna (Former Name)
Provider Enumeration Date
December 30, 2007
Last Update Date
December 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Dodge St
Beverly, MA 01915-1827
Zip
01915-1827
Phone Number
978-921-1182
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
111 Dodge St
Beverly, MA 01915-1827
City
Beverly
State
MA
Zip
01915-1827
Phone Number
978-921-1182

License Information

License Number
2881
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Candis A Bolden, MS/CCC-SLP?

The NPI number of Mrs. Candis A Bolden, MS/CCC-SLP is 1063697845. It was assigned on December 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Candis A Bolden, MS/CCC-SLP?

Mrs. Candis A Bolden, MS/CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 2881.

Where does Mrs. Candis A Bolden, MS/CCC-SLP practice?

The practice location is 111 Dodge St, Beverly, MA 01915-1827. The office can be reached at 978-921-1182 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063697845 directly on the NPPES registry website.

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