Individual
KATHRYN E FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4401 OLD AIRPORT RD, CONCORD, NC 28025-7188
(704) 260-5600
Mailing address
11485 RISING STAR CT, CHARLOTTE, NC 28215-7375
(704) 701-9049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12309
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
05/19/2026
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