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MS. CANDACE SARACENO REVERE CCC-SLP
NPI 1215119094
Speech-Language Pathologist in Hammond, LA

Active since December 03, 2007
11404 JERUSALEM BAPTIST CHURCH RD, HAMMOND, LA 70403(985) 402-0507 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Candace Saraceno Revere Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CANDACE SARACENO REVERE CCC-SLP (NPI 1215119094) is an individual speech-language pathologist provider in Hammond, Louisiana, licensed in Louisiana (5664) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1215119094
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. CANDACE SARACENO REVERECredential: CCC-SLP
Location Address11404 JERUSALEM BAPTIST CHURCH RDHammond, LA 70403-1940
Mailing Address11404 Jerusalem Baptist Church RdHammond, LA 70403-1940 · (985) 402-0507
Phone(985) 402-0507
Sole ProprietorYes
Enumeration DateDecember 3, 2007
Last NPPES UpdateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
✔ NPI 1215119094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in LA · 5664
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
11404 JERUSALEM BAPTIST CHURCH RD, Hammond, LA 70403
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Revere's NPI number?

The NPI number for Candace Revere is 1215119094. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Candace Revere located?

Candace Revere practices at 11404 Jerusalem Baptist Church Rd, Hammond, LA 70403. The listed phone number is (985) 402-0507.

What is Candace Revere's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Candace Revere was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.