Stacy L Deitrick, MACCCSLP
Stacy L Deitrick, MACCCSLP is a Speech-Language Pathologist in New Haven, Indiana. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
1201 Daly DrNew Haven, IN 46774-1891
Phone: (260) 749-0413
Fax: (260) 749-2531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SA19289 (FL) |
|---|
Record details
| NPI number | 1841600459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCCSLP |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2014 |
| Last updated in NPPES | October 29, 2021 |
| Certification date | October 29, 2021 |
| Mailing address | 2310 Silver Palm Dr Apt 203, Kissimmee, FL 34747-2746 |
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