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STACY L DEITRICK MACCCSLP
NPI 1841600459
Speech-Language Pathologist in New Haven, IN

Active since May 05, 2014
1201 DALY DR, NEW HAVEN, IN 46774(260) 749-0413(260) 749-2531 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy L Deitrick Macccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY L DEITRICK MACCCSLP (NPI 1841600459) is an individual speech-language pathologist provider in New Haven, Indiana, licensed in Florida (SA19289) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1841600459
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACY L DEITRICKCredential: MACCCSLP
Location Address1201 DALY DRNew Haven, IN 46774-1891
Mailing Address2310 Silver Palm Dr Apt 203Kissimmee, FL 34747-2746 · (937) 733-6216
Phone(260) 749-0413
Fax(260) 749-2531
Sole ProprietorYes
Enumeration DateMay 5, 2014
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1841600459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA19289
Definition
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.
1201 DALY DR, New Haven, IN 46774
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNOVATIVE HEALTH CONCEPTS
Nurse Practitioner (Gerontology)
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 413-2958
MRS. SARAH ELIZABETH HELLINGER PTA
Physical Therapy Assistant
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 749-0413
MISS MORGAN HILL PTA
Physical Therapy Assistant
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 749-0413
GENESIS ELDERCARE PHYSICIANS SERVICES LLC
Internal Medicine (Geriatric Medicine)
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 749-0413
RACHEL OTTENWELLER
Physical Therapy Assistant
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 749-0413
MRS. ANDREA ELIZABETH KEVER COTA
Occupational Therapy Assistant
1201 DALY DR
NEW HAVEN, IN 46774
Allen County (260) 749-0413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Deitrick's NPI number?

The NPI number for Stacy Deitrick is 1841600459. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Stacy Deitrick located?

Stacy Deitrick practices at 1201 Daly Dr, New Haven, IN 46774. The listed phone number is (260) 749-0413.

What is Stacy Deitrick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacy Deitrick was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.