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

Individual provider Speech-Language Pathologist · NPI 1720654023

Mitchell Pruett, CCC-SLP is a Speech-Language Pathologist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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

14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856
Phone: (866) 919-3240
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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 116202 (TX)

Record details

NPI number1720654023
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address2625 Empire Dr Apt 3225, Richardson, TX 75080-0068

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