Individual
DR. CANDACE M STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
185 RICHARD DAVIS DR STE 105, RICHMOND HILL, GA 31324-3978
(833) 779-3825
Mailing address
PO BOX 1943, RICHMOND HILL, GA 31324-1943
(833) 779-3825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26854
TX
103TC0700X
Clinical Psychologist
PSY004762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165912003
—
TX
01
—
87071A
BCBS
TX
Enumeration date
07/05/2006
Last updated
01/13/2026
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