Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841600459 Individual Practitioner Female Practitioner

Stacy L Deitrick , MACCCSLP

Speech-Language Pathologist • New Haven, IN

Professional Overview & Biography Verified Profile Summary

Stacy Deitrick, MACCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in New Haven, IN. Practice services are available at 1201 DALY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Daly Dr

New Haven, IN 467741891

Telephone 2607490413
Fax 2607492531
Associated Practice Facility / Clinic
🏢 Innovative Health Concepts Facility NPI 1023223633

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in New Haven, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
3 Specialists

Practicing in New Haven, 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: 2021-10-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA19289

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sarah Hellinger , PTA

Physical Therapy Assistant

NPI 1174867675

Physical Therapist Assistant

Morgan Hill , PTA

Physical Therapy Assistant

NPI 1235667700

Physical Therapist Assistant

Rachel Ottenweller

Physical Therapy Assistant

NPI 1477006252
Andrea Kever , COTA

Occupational Therapy Assistant

NPI 1992049555

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address October 29, 2021

Registered at 2310 SILVER PALM DR APT 203, KISSIMMEE, FL 347472746 (Tel: 9377336216)

👤
Provider Name / Credentials Updated October 29, 2021

Recorded as STACY DEITRICK, MACCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2021

Speech-Language Pathologist (License #SA19289 in FL)

NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2014

Registered at 1201 DALY DR, NEW HAVEN, IN 467741891 (Tel: 2607490413)

📍
Updated Business Mailing Address May 05, 2014

Registered at 1201 DALY DR, NEW HAVEN, IN 467741891 (Tel: 2607490413)

👤
Provider Name / Credentials Updated May 05, 2014

Recorded as STACY ECKSTEIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Speech-Language Pathologist (License #46002581A in IN)

🟢
Initial NPI Registration & Enumeration May 05, 2014

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: 1841600459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2014
Last Update: October 29, 2021
Sole Proprietor: Yes

Mailing Address

2310 Silver Palm Dr Apt 203

Kissimmee, FL 347472746

Phone: 9377336216

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.