Individual
STACY BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1434 CHESTER BLVD, RICHMOND, IN 47374-1947
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 966-1600
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002638A
IN
231H00000X
Audiologist
A. 01920
OH
Other
Enumeration date
09/02/2014
Last updated
05/12/2021
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