Individual
JARRED RYAN DUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
4012 PARK RD STE 200, SUITE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
Mailing address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14492982
NC
235Z00000X
Speech-Language Pathologist
Primary
30004880
NC
Other
Enumeration date
02/24/2026
Last updated
03/23/2026
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