| Candace Braxton, | |
|
17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | |
| (480) 221-2573 | |
| Not Available |
| Full Name | Candace Braxton |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 17100 E Shea Blvd Ste 600, Fountain Hills, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780099762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 109913 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP13592 (Arizona) | Primary |
| Provider Name | Solace Pediatric Healthcare Therapy Services Az, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669533105 PECOS PAC ID: 2163784299 Enrollment ID: O20180329000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Braxton, 1220 E Juanita Ave, Gilbert, AZ 85234-3600 Ph: (313) 378-8593 | Candace Braxton, 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 Ph: (480) 221-2573 |
Ms. Heather Marie Maxson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Raquel P Matute, M.S Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 17100 E Shea Blvd Ste 225, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Chastity Small, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 Phone: 314-560-8713 | |
Kristin Gorski, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16428 E Kingstree Blvd, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Kaylee Elisabeth Walker, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16428 E Kingstree Blvd, Stars, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Erin Dougherty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Alice P Armbruster, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15406 N Castillo Dr, Fountain Hills, AZ 85268 Phone: 480-836-1077 |