Individual
KATHERINE JENNINGS BURTTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CIRCLE AVE APT I, CHARLOTTE, NC 28207-1440
(843) 909-0363
Mailing address
333 CIRCLE AVE APT I, CHARLOTTE, NC 28207-1440
(843) 909-0363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30002548
NC
235Z00000X
Speech-Language Pathologist
Primary
6255
SC
235Z00000X
Speech-Language Pathologist
Primary
—
SC
Other
Enumeration date
05/25/2017
Last updated
04/14/2026
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