Provider Demographics
NPI:1780579235
Name:FERREIRA, KATHRYN ANNE JENKINS (CCC-A, AUD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANNE JENKINS
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:CCC-A, AUD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ANNE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13280 WARRENSVILLE CV
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7634
Mailing Address - Country:US
Mailing Address - Phone:404-416-0799
Mailing Address - Fax:770-292-3046
Practice Address - Street 1:3180 NORTH POINT PKWY
Practice Address - Street 2:BLDG 500, SUITE 512
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4569
Practice Address - Country:US
Practice Address - Phone:770-292-3045
Practice Address - Fax:770-292-3046
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004459231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist