Healthcare Provider Details

I. General information

NPI: 1346497880
Provider Name (Legal Business Name): DEBORAH A. STOKES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 E SAVANNAH RD
LEWES DE
19958-1133
US

IV. Provider business mailing address

130 MANILA AVE
LEWES DE
19958-1722
US

V. Phone/Fax

Practice location:
  • Phone: 703-380-4173
  • Fax: 703-960-5934
Mailing address:
  • Phone: 703-380-4173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-000212
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: