Doctor Name: | DR. RICHARD R. STERNBERG |
NPI Number: | 1255439659 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 1175 W Broadway Suite 21 Hewlett, NY - 115571922 |
Business Phone Number: | 5165693869 |
Business Fax Number: | 5165690630 |
Mailing Address: | 1175 W Broadway, Suite 21 HEWLETT |
State: | NY |
Postal Code: | 115571922 |
Phone Number: | 5165693869 |
Fax Number: | 5165690630 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |