| Doctor Name: | STACY L BLACKINGTON |
| NPI Number: | 1710069745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | 2002019898 |
| Business Practice Address: | 960 E Walnut Lawn St Springfield, MO - 658077506 |
| Business Phone Number: | 4178753600 |
| Business Fax Number: | |
| Mailing Address: | 1001 E Primrose St, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658075155 |
| Phone Number: | 4178753000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 12/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 2002019898 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |