Individual
CANDACE RIKA MINAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
2032 E WINDSONG DR, PHOENIX, AZ 85048-8124
(423) 258-2031
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA8775
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP8775
AZ
Other
Enumeration date
08/11/2014
Last updated
08/22/2025
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