IndividualActive
Addie Fetcko
NPI 1972461184 · Speech-Language Pathologist · Macon, MS
Provider details
- NPI number
- 1972461184
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- S-5356 (MS)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
78 Hospital Rd
Macon, MS 39341-2490
Phone: (662) 726-4231
Approximate (ZIP-level) locationGet directions
Mailing address
78 Hospital Rd
Macon, MS 39341-2490
Registry dates
- Enumerated
- 2026-01-14
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.