Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 01004 | IA |
Y | 103T00000X | Psychologist | 01004 | IA |
NPI | 1003826959 |
---|---|
Provider Name | Dr. Angela A Stokes |
First Address | Sioux City, IA 51101-1046 |
Second Address | Sioux City, IA 51101-1046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 22/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
W02735 | (02) |