Provider Demographics
NPI:1740804038
Name:DEBORAH STOKES, PHD, LLC
Entity type:Organization
Organization Name:DEBORAH STOKES, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-380-4173
Mailing Address - Street 1:130 MANILA AVE
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1722
Mailing Address - Country:US
Mailing Address - Phone:703-380-4173
Mailing Address - Fax:
Practice Address - Street 1:414 E SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1133
Practice Address - Country:US
Practice Address - Phone:302-200-3741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14647435OtherCAQH