CANDACE GANDULLA MA CCC-SLP
NPI 1568860948
Speech-Language Pathologist in Port Jefferson, NY

Q: What is Candace Gandulla's NPI number?

The NPI number for Candace Gandulla is 1568860948. It was assigned to this individual provider in the NPPES registry on December 16, 2014. The provider is also known as Candace Zito.

Q: What is Candace Gandulla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Candace Gandulla was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 16, 2014

450 MYRTLE AVE, PORT JEFFERSON, NY 11777(631) 474-3400 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Candace Gandulla Ma Ccc-slp NPPES

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

CANDACE GANDULLA MA CCC-SLP (NPI 1568860948) is an individual speech-language pathologist provider in Port Jefferson, New York and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1568860948

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCANDACE GANDULLACredential: MA CCC-SLP

Location Address450 MYRTLE AVEPort Jefferson, NY 11777-1739

Mailing Address14 Hampton StHauppauge, NY 11788-2210 · (914) 943-8408

Phone(631) 474-3400

Sole ProprietorNo

Enumeration DateDecember 16, 2014

Last NPPES UpdateDecember 20, 2016

✔ NPI 1568860948 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

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.

450 MYRTLE AVE, Port Jefferson, NY 11777

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Other Names 1

Former Name (1)Candace Zito

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 Gandulla's NPI number?

The NPI number for Candace Gandulla is 1568860948. It was assigned to this individual provider in the NPPES registry on December 16, 2014. The provider is also known as Candace Zito.

Where is Candace Gandulla located?

Candace Gandulla practices at 450 Myrtle Ave, Port Jefferson, NY 11777. The listed phone number is (631) 474-3400.

What is Candace Gandulla'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 Gandulla was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.