Doctor Name: | EVAN STERN |
NPI Number: | 1457715526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LMHC |
License Number: | 18001747 |
Business Practice Address: | 27 Hill St Haworth, NJ - 076411804 |
Business Phone Number: | 9142825108 |
Business Fax Number: | |
Mailing Address: | 27 Hill St, HAWORTH |
State: | NJ |
Postal Code: | 076411804 |
Phone Number: | 9142825108 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 18001747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |