Individual
STACY L BLACKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3600
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2002019898
MO
237600000X
Audiologist-Hearing Aid Fitter
2002019898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710069745
—
MO
Enumeration date
10/19/2006
Last updated
09/30/2025
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