NPI 1194266411

Shyla Fenderson, MACCCSLP

Practitioner Speech-Language Pathologist Grayson, GA

Practice location

Address: 1550 Hill Crossing CT, Grayson, GA 30017-2957
Phone: (678) 856-1075

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP009571 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1194266411
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2017
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.