Individual
CANDICE NASTASSIA SCOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7215 WINDFERN RD, HOUSTON, TX 77040-2301
(713) 466-8933
Mailing address
10901 RANCHSTONE DR APT 1012, HOUSTON, TX 77064-8889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106180
TX DEPT. OF LICENSING AND REGULATION
TX
01
—
35077156
TX DRIVER LICENSE
TX
Enumeration date
04/25/2011
Last updated
10/02/2018
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