Doctor Name: | NICOLE STOKES |
NPI Number: | 1033399001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SSP |
License Number: | |
Business Practice Address: | 553 E Plaza Cir Litchfield Park, AZ - 853404930 |
Business Phone Number: | 6235356066 |
Business Fax Number: | |
Mailing Address: | 4805 N 150th Ave, GOODYEAR |
State: | AZ |
Postal Code: | 853958376 |
Phone Number: | 6235356335 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |