Provider Demographics
NPI:1588127161
Name:STOCKS, BEVERLY LUANNE
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:LUANNE
Last Name:STOCKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3266 TWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-5021
Mailing Address - Country:US
Mailing Address - Phone:559-356-0221
Mailing Address - Fax:
Practice Address - Street 1:40680 HIGHWAY 41 STE D
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9657
Practice Address - Country:US
Practice Address - Phone:559-369-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical