| Doctor Name: | MRS. DONNA TACEY |
| NPI Number: | 1023390580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 301 Andrews Ave. Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
| Business Phone Number: | 3342557185 |
| Business Fax Number: | |
| Mailing Address: | 301 Andrews Ave, FORT RUCKER |
| State: | AL |
| Postal Code: | 36362 |
| Phone Number: | 3342557185 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2011 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355A2700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Audiology Assistant |
| Taxonomy Definition: | |