| Doctor Name: | STACY M MOORE |
| NPI Number: | 1386685121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 12046396 |
| Business Practice Address: | 4369 Miller Rd Flint, MI - 485071279 |
| Business Phone Number: | 8107331385 |
| Business Fax Number: | 8107337893 |
| Mailing Address: | Po Box 406153, ATLANTA |
| State: | GA |
| Postal Code: | 303841876 |
| Phone Number: | 8005283277 |
| Fax Number: | 8888880009 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 12046396 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |