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STACY L DEITRICK MACCCSLP NPI 1841600459


NPI Information

NPI: 1841600459
Provider Name: STACY L DEITRICK, MACCCSLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1201 DALY DR
NEW HAVEN, IN
ZIP 46774
Phone: (260) 749-0413
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Stacy L Deitrick, MACCCSLP is a speech language pathologist in New Haven, IN. The provider is 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Stacy L Deitrick, MACCCSLP NPI is 1841600459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 DALY DR
NEW HAVEN, IN
ZIP 46774-891
Phone: (260) 749-0413
Fax: (260) 749-2531

The enumeration date for this NPI number is 5/5/2014 and was last updated on 10/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSA19289FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.