Individual provider · Type 1 NPI
Stacy Ann Thacker-Newsome, MA, LBD
Specialist · Borden, IN
NPI number
1043686595
Active
Practice location
15903 State Road 60
Borden, IN 47106-8629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1043686595
Stacy Ann Thacker-Newsome, MA, LBD's National Provider Identifier is 1043686595, issued on Aug 19, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Borden, IN. The record was last updated on Aug 19, 2015.