Provider Demographics
NPI:1245371723
Name:MCCANDIES, TERRY (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:MCCANDIES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19606 COASTAL HWY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-8576
Mailing Address - Country:US
Mailing Address - Phone:301-518-5525
Mailing Address - Fax:302-503-3578
Practice Address - Street 1:19606 COASTAL HWY UNIT 102
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-8576
Practice Address - Country:US
Practice Address - Phone:301-518-5525
Practice Address - Fax:302-503-3578
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB10000814103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist