Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Pruitt

Individual provider Speech-Language Pathologist · NPI 1194658245

Jacqueline Pruitt is a Speech-Language Pathologist in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

3501 Kinzie Ave
Racine, WI 53405-2438
Phone: (262) 664-8150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1001440500 (WI)

Record details

NPI number1194658245
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address3546 Osborne Blvd, Racine, WI 53405-2031

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