Individual
KYNDALL ELIZABETH PETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
308 GREENVILLE BLVD SE STE C, GREENVILLE, NC 27858-5758
(704) 654-8599
(980) 938-6088
Mailing address
308 GREENVILLE BLVD SE STE C, GREENVILLE, NC 27858-5758
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
30004020
NC
235Z00000X
Speech-Language Pathologist
Primary
30005249
NC
Other
Enumeration date
09/13/2023
Last updated
07/01/2026
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