Grotsky, Candice Lorraine

Grotsky, Candice Lorraine is an individual health care provider with primary practice located at 1840 S. Stapley Dr. Ste. 101, Mesa AZ 85204. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Grotsky, Candice Lorraine can be contacted via phone (480) 464-6870.

Contact Information

Primary practice address
1840 S. Stapley Dr. Ste. 101 Mesa AZ 85204
Fax: (480) 464-6943
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA1759 Arizona

Profile Details

NPI number 1326026352
LBN Legal business name Grotsky, Candice Lorraine
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326026352 NPPES
Arizona MEDICAID 761074

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