Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice D Tetreault, MS/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053757237

Candice D Tetreault, MS/CCC-SLP is a Speech-Language Pathologist in Fayetteville, North Carolina. Works from 2 locations. Licensed in North Carolina and New Mexico.

Licensed in
NC, NM
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1357 Walter Reed Rd Ste 102
Fayetteville, NC 28304-4417
Phone: (910) 223-5543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4811-E Hardware Dr. Ne, Albuquerque, NM 87109 — (505) 268-5933

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence NCSLP-10331 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5458 (NM)

Record details

NPI number1053757237
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/CCC-SLP
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESMarch 17, 2018

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