Individual
KAITLYN RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(865) 693-5622
(865) 769-0801
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(575) 317-8030
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7573
TN
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/15/2017
Last updated
10/13/2021
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