Provider Demographics
NPI:1073303442
Name:STOCKWELL, ANA M (PSYD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:STOCKWELL
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40891 SONATA CT
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-0349
Mailing Address - Country:US
Mailing Address - Phone:760-408-6690
Mailing Address - Fax:
Practice Address - Street 1:40891 SONATA CT
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-0349
Practice Address - Country:US
Practice Address - Phone:760-408-6690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty