Doctor Name: | JUDITH ANNETTE STERNAL |
NPI Number: | 1265505325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SP593 |
Business Practice Address: | 63 Harrison Ave Dover Foxcroft, ME - 044261135 |
Business Phone Number: | 2075646535 |
Business Fax Number: | 2075646531 |
Mailing Address: | 63 Harrison Ave, DOVER FOXCROFT |
State: | ME |
Postal Code: | 044261135 |
Phone Number: | 2075646535 |
Fax Number: | 2075646531 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |