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Deactivated NPI 1487865192 Deactivated / Inactive NPI Female Practitioner

Donna Dibenedetto , MA-CCC-SLP

Speech-Language Pathologist • Medford, MA

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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, Donna Dibenedetto has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2007
NPI Deactivation Date August 10, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Donna Dibenedetto, MA-CCC-SLP was a registered Speech-Language Pathologist practicing in Medford, MA. Throughout an active medical career spanning 10 years, Donna Dibenedetto provided care at the practice location at 170 GOVERNORS AVE until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

170 Governors Ave

Medford, MA 021551643

Telephone 7813066965
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Medford, MA (4034 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 MA 2310

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

40 Associated Practitioners
Ellen Klee , NP

Nurse Practitioner - Adult Health

NPI 1013206572

Nurse Practitioner

Kerri Dewolf

Social Worker - Clinical

NPI 1013597087
Sharon Hall , RNCS

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1033190863
NPI 1104807254

Doctor of Medicine (M.D.)

Michelle Vidal , LICSW

Social Worker - Clinical

NPI 1124362389

Licensed Independent Clinical Social Worker

Andrea Messina , NP

Nurse Practitioner - Adult Health

NPI 1124364872

Nurse Practitioner

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 August 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 170 GOVERNORS AVE, MEDFORD, MA 021551643 (Tel: 7813066965)

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Updated Business Mailing Address July 08, 2007

Registered at 49 DOVER ST, APT.#39, SOMERVILLE, MA 021442807

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Provider Name / Credentials Updated July 08, 2007

Recorded as DONNA DIBENEDETTO, M.A.-CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2310 in MA)

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Initial NPI Registration & Enumeration May 24, 2007

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: 1487865192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 08, 2007
Deactivation Date: August 10, 2017

Mailing Address

49 Dover St, Apt.#39

Somerville, MA 021442807

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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