Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADDIE GRACE FETCKO
ActiveADDIE GRACE FETCKO is a Speech, Language and Hearing Specialist healthcare provider located in MACON, Mississippi. NPI 1972461184 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MACON, MS
Registration Details
- NPI Number
- 1972461184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2026 (0.55917033686774 yrs)
- Last Updated
- Jan 14, 2026
- License
-
S-5356 (MS)
Practice Information
- Address
-
78 HOSPITAL RDMACON, MS, 393412490Browse MS providers · Browse ZIP 39341
- Phone
- 6627264231
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in MACON, MS
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY PAIGE PETERSON | SLP | 1538678263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.