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

Individual provider Speech-Language Pathologist · NPI 1205411840

Peyton Pruitt, MSCCC-SLP is a Speech-Language Pathologist in Charlevoix, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
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Practice location Address checks out

8568 Mercer Rd
Charlevoix, MI 49720-1006
Phone: (231) 753-8015
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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 7101009059 (MI)

Record details

NPI number1205411840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address8568 Mercer Rd, Charlevoix, MI 49720-1006

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