Brenda Marie Fatjo | Abbeville, LA • PECOS Search

Brenda Marie Fatjo

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

220 S Jefferson St, Abbeville, LA 70510-5906

(337) 893-3901 (337) 856-7694

PECOS Enrollment

Based on the most recent information from CMS, provider Brenda Marie Fatjo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1497834683
Provider Type
Individual
Full Name
Fatjo, Brenda Marie
Credential
CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/6/2006
Last Updated
7/8/2007

Contact Information

Practice Location

220 S Jefferson St, Abbeville, LA 70510-5906

Unlisted Fax

Mailing Location

201 Greenspoint Cmn, Lafayette, LA 70508-8009

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 2721 Louisiana