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

Shyla Fenderson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1194266411

Shyla Fenderson, MACCC-SLP is a Speech-Language Pathologist in Grayson, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

1550 Hill Crossing Ct
Grayson, GA 30017-2957
Phone: (678) 856-1075
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009571 (GA)

Record details

NPI number1194266411
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

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