Provider Demographics
NPI:1699463356
Name:GARRARD, STACY JANE (AUD)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:JANE
Last Name:GARRARD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:STACY
Other - Middle Name:JANE
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1517 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1429
Mailing Address - Country:US
Mailing Address - Phone:859-554-5384
Mailing Address - Fax:859-554-6173
Practice Address - Street 1:1517 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1429
Practice Address - Country:US
Practice Address - Phone:859-554-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty