Provider Demographics
NPI:1104185677
Name:STOKES, RICHARD A (HIS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:STOKES
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-1741
Mailing Address - Country:US
Mailing Address - Phone:802-223-0068
Mailing Address - Fax:802-223-0068
Practice Address - Street 1:542 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1741
Practice Address - Country:US
Practice Address - Phone:802-223-0068
Practice Address - Fax:802-223-0068
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH499237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist