Provider Demographics
NPI:1750677175
Name:STOKES, ANITA LYN (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:LYN
Last Name:STOKES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1126 WALNUT STREET
Mailing Address - Street 2:DEVELOPMENTAL & DISABILITY SERVICES
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-274-3493
Mailing Address - Fax:717-274-1304
Practice Address - Street 1:1126 WALNUT STREET
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042
Practice Address - Country:US
Practice Address - Phone:717-274-3493
Practice Address - Fax:717-274-1304
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist