Provider Demographics
NPI:1578810966
Name:ANYAKA, STEPHEN CHUKWUKA
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHUKWUKA
Last Name:ANYAKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1984
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-1984
Mailing Address - Country:US
Mailing Address - Phone:424-209-2807
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1984
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93232-1984
Practice Address - Country:US
Practice Address - Phone:424-209-2807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35865103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical