Deitrick, Stacy L

Deitrick, Stacy L is an sole proprietor health care provider with primary practice located at 1201 Daly Dr , New Haven IN 46774-1891. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Deitrick, Stacy L can be contacted via phone (260) 749-0413.

Contact Information

Primary practice address
1201 Daly Dr New Haven IN 46774-1891
Phone: (260) 749-0413
Fax: (260) 749-2531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA19289 Florida

Profile Details

NPI number 1841600459
LBN Legal business name Deitrick, Stacy L
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated Oct 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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