Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jarred Ryan Dutka, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1972457232

Jarred Ryan Dutka, CCC-SLP is a Speech-Language Pathologist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

4012 Park Rd Ste 200 Ste 200
Charlotte, NC 28209-2378
Phone: (704) 332-4834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30004880 (NC)

Record details

NPI number1972457232
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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