| Doctor Name: | MRS. STACEY LYNNETTE WOODS |
| NPI Number: | 1184702029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-A |
| License Number: | 0323 |
| Business Practice Address: | 20 Medical Village Dr Suite 268 Edgewood, KY - 410175401 |
| Business Phone Number: | 8593444442 |
| Business Fax Number: | 8593444443 |
| Mailing Address: | 40 N Grand Ave, Suite 101 FORT THOMAS |
| State: | KY |
| Postal Code: | 410754107 |
| Phone Number: | 8597814900 |
| Fax Number: | 8595723044 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0323 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |