Provider Demographics
NPI:1679676977
Name:STOKES, MARTHA ANN (PHD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:ANN
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 1:110 LUKE AVE.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BOLLING AFB
Mailing Address - State:DC
Mailing Address - Zip Code:20032-7050
Mailing Address - Country:US
Mailing Address - Phone:202-404-6545
Mailing Address - Fax:202-404-7366
Practice Address - Street 1:110 LUKE AVE.
Practice Address - Street 2:SUITE 400
Practice Address - City:BOLLING AFB
Practice Address - State:DC
Practice Address - Zip Code:20032-7050
Practice Address - Country:US
Practice Address - Phone:202-404-6545
Practice Address - Fax:202-404-7366
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist