IndividualActive
Candice Negley-Tackett, AU.D
NPI 1225219538 · Audiologist-Hearing Aid Fitter · Portage, MI
Provider details
- NPI number
- 1225219538
- Entity type
- Individual
- Primary specialty
- Audiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
- Credential
- AU.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1601000484 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
1111 W Centre Ave
Portage, MI 49024-5317
Phone: (269) 324-0301
Fax: (269) 324-2387
Approximate (ZIP-level) locationGet directions
Mailing address
1111 W Centre Ave
Portage, MI 49024-5317
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.