Search › Michigan › 237600000X
Candice Negley-Tackett, AU.D
NPI 1225219538 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1111 W Centre Ave
Portage, MI 49024 - Phone
- (269) 324-0301
- Fax
- (269) 324-2387
- Organisation at this address
- Teletherapy Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Also registered as
- 237700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan