Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023067998 Individual Practitioner Female Practitioner

Geanine L Dettmore , MA, CCC-SLP

Speech-Language Pathologist • Winter Springs, FL

Professional Overview & Biography Verified Profile Summary

Geanine Dettmore, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Winter Springs, FL. Practice services are available at 1119 SHADOWBROOK TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1119 Shadowbrook Trl

Winter Springs, FL 327086323

Telephone 4072478291

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Winter Springs, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Winter Springs, FL (11640 Statewide)

Telehealth Adoption Rate
3.1% 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 SA 7685

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
889 365 900 (FL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 23, 2009

Registered at 1119 SHADOWBROOK TRL, WINTER SPRINGS, FL 327086323 (Tel: 4072478291)

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Updated Business Mailing Address February 23, 2009

Registered at 1119 SHADOWBROOK TRL, WINTER SPRINGS, FL 327086323 (Tel: 4072478291)

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Provider Name / Credentials Updated February 23, 2009

Recorded as GEANINE DETTMORE, M.A.,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2009

Speech-Language Pathologist (License #SA 7685 in FL)

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Initial NPI Registration & Enumeration May 09, 2006

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: 1023067998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: February 23, 2009
Sole Proprietor: Yes

Mailing Address

1119 Shadowbrook Trl

Winter Springs, FL 327086323

Phone: 4072478291

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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