Provider Demographics
NPI:1376422675
Name:FREDO, KAITLYN (MS)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:FREDO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 JEFFERSON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4806
Mailing Address - Country:US
Mailing Address - Phone:570-506-3823
Mailing Address - Fax:570-506-3823
Practice Address - Street 1:4055 MONROEVILLE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2522
Practice Address - Country:US
Practice Address - Phone:414-414-9916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor