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

Individual provider Speech-Language Pathologist · NPI 1962982017

Samout Kettavong, CCC-SLP is a Speech-Language Pathologist in Dallas, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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

3230 Remond Dr
Dallas, TX 75211-1619
Phone: (214) 743-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1881 Sylvan Ave Ste 100, Dallas, TX 75208-2030 — (214) 333-7041
  • 1881 Sylvan Ave Ste 150, Dallas, TX 75208-2002 — (214) 743-1200

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 114529 (TX)

Record details

NPI number1962982017
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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