Provider Demographics
NPI:1306099692
Name:FORCHENEY, CANDICE MONIQUE (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:MONIQUE
Last Name:FORCHENEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BARKER ST
Mailing Address - Street 2:APT B3
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1617
Mailing Address - Country:US
Mailing Address - Phone:914-525-4868
Mailing Address - Fax:
Practice Address - Street 1:28 BARKER ST
Practice Address - Street 2:APT B3
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1617
Practice Address - Country:US
Practice Address - Phone:914-525-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0182291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist