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Deactivated NPI 1457891665 Deactivated / Inactive NPI Female Practitioner

Beverly Koogle Mondloch

Speech-Language Pathologist • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Beverly Mondloch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2017
NPI Deactivation Date June 11, 2026
Total Practice Duration ~9 Years of Practice (2017 – 2026)

Professional Overview & Biography Verified Profile Summary

Beverly Mondloch was a registered Speech-Language Pathologist practicing in Daytona Beach, FL. Throughout an active medical career spanning 9 years, Beverly Mondloch provided care at the practice location at 241 BRASSWOOD CT until profile deactivation on 2026-06-11.

Practice Location & Contact Primary Location

Practice Address

241 Brasswood Ct

Daytona Beach, FL 321177127

Telephone 4109138479

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
48 Specialists

Practicing in Daytona Beach, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA13340

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2017

Registered at 241 BRASSWOOD CT, DAYTONA BEACH, FL 321177127 (Tel: 4109138479)

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Updated Business Mailing Address March 07, 2017

Registered at 241 BRASSWOOD CT, DAYTONA BEACH, FL 321177127 (Tel: 4109138479)

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Provider Name / Credentials Updated March 07, 2017

Recorded as BEVERLY MONDLOCH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Speech-Language Pathologist (License #SA13340 in FL)

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Initial NPI Registration & Enumeration March 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457891665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2017
Last Update: March 07, 2017
Deactivation Date: June 11, 2026

Mailing Address

241 Brasswood Ct

Daytona Beach, FL 321177127

Phone: 4109138479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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