Individual
MS. LINDA CANDLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
730 E 2ND ST, BLOOMSBURG, PA 17815-2009
(570) 389-0547
(570) 389-0547
Mailing address
730 E 2ND ST, BLOOMSBURG, PA 17815-2009
(570) 389-0547
(570) 389-0547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004657L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017359600004
—
PA
Enumeration date
10/18/2006
Last updated
11/02/2011
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