Doctor Name: | JODIE T STOKKE |
NPI Number: | 1245297241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 01128 |
Business Practice Address: | 630 6th St Nevada, IA - 502012266 |
Business Phone Number: | 5153823366 |
Business Fax Number: | 5153821576 |
Mailing Address: | Po Box 461, NEVADA |
State: | IA |
Postal Code: | 502010461 |
Phone Number: | 5153823366 |
Fax Number: | 5153821576 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |