Individual
CANDACE A. WHITEHEAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Mailing address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327918
—
WA
Enumeration date
10/25/2005
Last updated
07/08/2007
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