Provider Demographics
NPI:1548613607
Name:STOKES, MARQUITA L (PHD)
Entity Type:Individual
Prefix:
First Name:MARQUITA
Middle Name:L
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 1:595 E COLORADO BLVD STE 324
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2021
Mailing Address - Country:US
Mailing Address - Phone:818-839-1365
Mailing Address - Fax:626-385-4871
Practice Address - Street 1:595 E COLORADO BLVD STE 324
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2021
Practice Address - Country:US
Practice Address - Phone:818-839-1365
Practice Address - Fax:626-385-4871
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent