Provider Demographics
NPI:1194898387
Name:STOCKMAN, NANCY KAY (LMFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KAY
Last Name:STOCKMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:KAY
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:105 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:IA
Mailing Address - Zip Code:50641-7708
Mailing Address - Country:US
Mailing Address - Phone:563-920-6171
Mailing Address - Fax:319-636-2022
Practice Address - Street 1:105 MAIN ST N
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:IA
Practice Address - Zip Code:50641-7708
Practice Address - Country:US
Practice Address - Phone:563-920-6171
Practice Address - Fax:319-636-2022
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00111106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist