STEPHANIE NICOLE JENKINS MA CCC-SLP
NPI 1508531062
Speech-Language Pathologist in Fayetteville, GA

Active since August 16, 2021
115 PECAN RIDGE DR, FAYETTEVILLE, GA 30215(614) 440-5002(470) 488-0797 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Nicole Jenkins Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE NICOLE JENKINS MA CCC-SLP (NPI 1508531062) is an individual speech-language pathologist provider in Fayetteville, Georgia, licensed in Georgia (011235) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1508531062
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTEPHANIE NICOLE JENKINSCredential: MA CCC-SLP
Location Address115 PECAN RIDGE DRFayetteville, GA 30215-6863
Mailing Address115 Pecan Ridge DrFayetteville, GA 30215-6863 · (614) 440-5002 · Fax (470) 488-0797
Fax(470) 488-0797
Sole ProprietorYes
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 14, 2021
NPI 1508531062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · 011235
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

115 PECAN RIDGE DR, Fayetteville, GA 30215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508531062, enumerated as an "individual" on August 16, 2021.

The provider is located at 115 PECAN RIDGE DR FAYETTEVILLE, GA 30215 and the phone number is (614) 440-5002.

Speech-Language Pathologist with taxonomy code 235Z00000X.