Individual
MS. CANDACE GOULD LIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10 EMPIRE STATE BLVD, CASTLETON, NY 12033-9751
(518) 477-8771
Mailing address
1501 SIVER RD, GUILDERLAND, NY 12084-9775
(518) 357-2802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009215-1
NY
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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