# MRS. STACEY LYNNETTE WOODS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184702029
- **Gender:** F
- **Credential:** M.A., CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 0323 | KY | Yes |
| 235Z00000X | Speech-Language Pathologist | 0323 | KY | — |
| 237700000X | Hearing Instrument Specialist | 0729 | KY | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 23002176A | IN AUDIOGOLIST | IN |
| 01 | — | KY 0729 | KY SPEC. HEARING INSTRUME | KY |
| 01 | — | KY0323 | KY PATHOLOGY/AUDIOLOGIST | KY |