Provider Demographics
NPI:1760790307
Name:STEKOLL, ANYA (PSYD)
Entity type:Individual
Prefix:
First Name:ANYA
Middle Name:
Last Name:STEKOLL
Suffix:
Gender:F
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:PO BOX 1563
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-1563
Mailing Address - Country:US
Mailing Address - Phone:541-215-4439
Mailing Address - Fax:
Practice Address - Street 1:1011 SW EMKAY DR STE 101
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3162
Practice Address - Country:US
Practice Address - Phone:541-215-4439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61147796103TC0700X
AK197536103TC0700X
OR3151103TC0700X
CA262698103TC0700X
HIPSY2127103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical