Individual
DR. CANDACE P. VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
8432 MAGNOLIA AVE, CALIFORNIA BAPTIST UNIVERSITY, RIVERSIDE, CA 92504-3206
(951) 552-8129
Mailing address
8432 MAGNOLIA AVE, CALIFORNIA BAPTIST UNIVERSITY, RIVERSIDE, CA 92504-3206
(951) 552-8129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3332
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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