| Organization Name: | FREDERICK LEE STERN |
| NPI Number: | 1235364084 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK LEE STERN (OWNER) |
| Mailing Address: | 108 E Pattagansett Rd Niantic |
| State: | CT US |
| Postal Code: | 063572357 |
| Phone Number: | 8603033987 |
| Fax Number: | 8607394191 |
| NPI Enumeration Date: | 05/22/2009 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 006946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |