Provider Demographics
NPI:1639491830
Name:WINKLER, STACEY DANIELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:DANIELLE
Last Name:WINKLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:STACEY
Other - Middle Name:DANIELLE
Other - Last Name:KARN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6921 SUNBURY RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9434
Mailing Address - Country:US
Mailing Address - Phone:412-216-0676
Mailing Address - Fax:
Practice Address - Street 1:6921 SUNBURY RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9434
Practice Address - Country:US
Practice Address - Phone:412-216-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01716231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter