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Deactivated NPI 1417101072 Deactivated / Inactive NPI Female Practitioner

Diane Elizabeth Smith , MA, CCC-SLP, L

Speech-Language Pathologist • Ticonderoga, NY

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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, Diane Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2008
NPI Deactivation Date March 01, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Diane Smith, MA, CCC-SLP, L was a registered Speech-Language Pathologist practicing in Ticonderoga, NY. Throughout an active medical career spanning 15 years, Diane Smith provided care at the practice location at 68 CANFIELD RD until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

68 Canfield Rd

Ticonderoga, NY 128833944

Telephone 5185857893

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ticonderoga, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ticonderoga, NY (25106 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 NY 009080-1

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 March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active November 10, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 10, 2008

Registered at 68 CANFIELD RD, TICONDEROGA, NY 128833944 (Tel: 5185857893)

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Updated Business Mailing Address November 10, 2008

Registered at 68 CANFIELD RD., TICONDEROGA, NY 12883 (Tel: 5185857893)

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Provider Name / Credentials Updated November 10, 2008

Recorded as DIANE SMITH, MA, CCC-SLP/L

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2008

Speech-Language Pathologist (License #009080-1 in NY)

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Initial NPI Registration & Enumeration November 10, 2008

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: 1417101072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2008
Last Update: November 10, 2008
Deactivation Date: March 01, 2023

Mailing Address

68 Canfield Rd.

Ticonderoga, NY 12883

Phone: 5185857893

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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