Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Gandulla, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568860948

Candace Gandulla, MACCC-SLP is a Speech-Language Pathologist in Port Jefferson, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

450 Myrtle Ave
Port Jefferson, NY 11777-1739
Phone: (631) 474-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1568860948
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedDecember 16, 2014
Last updated in NPPESDecember 20, 2016
Mailing address14 Hampton St, Hauppauge, NY 11788-2210

Other providers in Port Jefferson