Individual
COURTNEY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 DIANA DR, ROUND ROCK, TX 78664-5732
(325) 451-4019
Mailing address
1602 DIANA DR, ROUND ROCK, TX 78664-5732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115301
TX
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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