Stacy L Deitrick, MACCCSLP

NPI #1841600459 in New Haven, Indiana

Provider Information

NPI Number
1841600459
Entity Type
Individual
Name
Stacy L Deitrick, MACCCSLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MACCCSLP
Enumeration Date
May 5, 2014
Last Updated
Oct 29, 2021

Practice Location

Address
1201 DALY DR
State
Indiana
ZIP Code
46774-1891
Phone
(260) 749-0413

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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