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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY L DEITRICK, MACCCSLP

Active Sole Proprietor

STACY L DEITRICK, MACCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in NEW HAVEN, Indiana. NPI 1841600459 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · NEW HAVEN, IN

Registration Details

NPI Number
1841600459
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2014 (12.096497497278 yrs)
Last Updated
Oct 29, 2021
License
SA19289 (FL)
Sole Proprietor
Yes

Practice Information

Address
1201 DALY DR
NEW HAVEN, IN, 467741891
Browse IN providers · Browse ZIP 46774
Phone
2607490413
Fax
2607492531
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in NEW HAVEN, IN

Name Credential NPI
MRS. KRISTEN JOY ZURBUCH MS CCC-SLP 1699988592
MARY PAYNE 1609190800
MRS. STEPHANIE ROSE KLINE 1740524248
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.