Provider Demographics
NPI:1003826959
Name:STOKES, ANGELA A (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:A
Last Name:STOKES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DOUGLAS ST STE 525
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1046
Mailing Address - Country:US
Mailing Address - Phone:712-222-1432
Mailing Address - Fax:712-222-1433
Practice Address - Street 1:705 DOUGLAS ST STE 525
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1046
Practice Address - Country:US
Practice Address - Phone:712-222-1432
Practice Address - Fax:712-222-1433
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01004103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
W02735Medicare UPIN