Most Relevant Information
Provider Data
| NPI Number: | 1003542598 |
| Provider Name: | KAITLYN ASHLEY FENCIK M.A. CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2022 |
| Last Updated: | 07/27/2022 |
Provider Practice Location
343 PRADO WAY
GREENVILLE
SC
296076512
Practice Location Phone/Fax
| Phone: | 7326084098 |
| Fax: |
Provider Mailing Location
343 PRADO WAY
GREENVILLE
SC
296076512
Provider Mailing Phone/Fax
| Phone: | 8642708647 |
| Fax: |