Individual provider · Type 1 NPI

Samout Kettavong, CCC-SLP

Speech-Language Pathologist · Dallas, TX

NPI number 1962982017 Active

Practice location

3230 Remond Dr
Dallas, TX 75211-1619

Call (214) 743-1200 Map

Mailing address

1881 Sylvan Ave Ste 150
Dallas, TX 75208-2002

Other practice locations

  • 1881 Sylvan Ave Ste 100, Dallas, TX 75208-2030 · (214) 333-7041
  • 1881 Sylvan Ave Ste 150, Dallas, TX 75208-2002 · (214) 743-1200
  • 4701 Samuell Blvd, Dallas, TX 75228-6828 · (972) 861-5611

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X114529 (TX)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1962982017

Samout Kettavong, CCC-SLP's National Provider Identifier is 1962982017, issued on Aug 17, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 7, 2026.