Individual
CANDICE FEIVELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 COLUMBUS WAY N, HOLLYWOOD, FL 33026-4961
(954) 559-4907
Mailing address
3801 COLUMBUS WAY N, HOLLYWOOD, FL 33026-4961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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