Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255999322 Individual Practitioner Female Practitioner

Jacqueline Nicole Ditslear , CCC-SLP

Speech-Language Pathologist • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Jacqueline Ditslear, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Indianapolis, IN. Practice services are available at 1628 HOYT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1628 Hoyt Ave

Indianapolis, IN 462031205

Telephone 3178699784

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
594 Specialists

Practicing in Indianapolis, IN (3038 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

CMS Verified: 2022-01-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22007531A

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License IN 46003526A

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

9 Historical Events
📍
Updated Practice Location January 12, 2022

Registered at 1628 HOYT AVE, INDIANAPOLIS, IN 462031205 (Tel: 3178699784)

📍
Updated Business Mailing Address January 12, 2022

Registered at 1628 HOYT AVE, INDIANAPOLIS, IN 462031205 (Tel: 3178699784)

👤
Provider Name / Credentials Updated January 12, 2022

Recorded as JACQUELINE DITSLEAR, CCC-SLP

NPI Profile Active June 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2019

Registered at 406 CANAL COURT SOUTH DR APT K, INDIANAPOLIS, IN 462024622 (Tel: 3178699784)

📍
Updated Business Mailing Address June 03, 2019

Registered at 406 CANAL COURT SOUTH DR APT K, INDIANAPOLIS, IN 462024622 (Tel: 3178699784)

👤
Provider Name / Credentials Updated June 03, 2019

Recorded as JACQUELINE LOUDERMILK, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2019

Speech-Language Pathologist (License #46003526A in IN)

🟢
Initial NPI Registration & Enumeration June 03, 2019

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: 1255999322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2019
Last Update: January 12, 2022
Sole Proprietor: Yes

Mailing Address

1628 Hoyt Ave

Indianapolis, IN 462031205

Phone: 3178699784

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.