Stacy L. Deitrick, MACCCSLP
NPI 1841600459ActiveIndividual· Speech-Language Pathologist· New Haven, IN
Speech-Language Pathologist (MACCCSLP) in New Haven, Indiana, licensed in FL, with an NPI issued in May 2014.
Overview
| NPI | 1841600459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MACCCSLP |
| Sole proprietor | Yes |
| NPI issued | May 5, 2014 |
| Last updated in NPPES | Oct 29, 2021 |
| Certified by provider | Oct 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA19289 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other speech-language pathologists in New Haven
- 1750558706
- 1609190800
- 1699988592