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Stacy L Blackington, Au.D.

Audiologist in Springfield, MO. Individual provider (NPI-1).

NPI number1710069745
StatusActive
Last updated in NPPESSep 30, 2025

Details

NPI
1710069745
Entity type
Individual (NPI-1)
Name
Stacy L Blackington
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2006
Certification date
Sep 30, 2025
Last updated
Sep 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist2002019898MOYes
237600000X Audiologist-Hearing Aid Fitter2002019898MO

Practice location

1001 E Primrose St
Springfield, MO 65807-5155

Phone 417-875-3600

Mailing address

1001 E Primrose St
Springfield, MO 65807-5155

Phone 417-875-3000

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