Healthcare Provider Details

I. General information

NPI: 1609986835
Provider Name (Legal Business Name): DEVON STOKES P.H.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 17TH STREET BRIGHAM BLDG., MAIL STOP 316
RENO NV
89557-0001
US

IV. Provider business mailing address

401 W 2ND ST 235F
RENO NV
89503-5345
US

V. Phone/Fax

Practice location:
  • Phone: 775-784-6180
  • Fax: 775-784-4473
Mailing address:
  • Phone: 775-784-1223
  • Fax: 775-327-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0513
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: