Provider Demographics
NPI:1619124617
Name:HIGH, STACEY ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:STACEY
Middle Name:ANNE
Last Name:HIGH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1840
Mailing Address - Country:US
Mailing Address - Phone:859-987-3272
Mailing Address - Fax:859-987-3273
Practice Address - Street 1:202 W STEPHEN FOSTER AVE STE A
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004
Practice Address - Country:US
Practice Address - Phone:502-331-6270
Practice Address - Fax:502-331-6271
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0510231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist