Doctor Name: | VIVIAN W STERN |
NPI Number: | 1699831388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, CCC-SLP |
License Number: | SLP003011 |
Business Practice Address: | 2366 Lee Street Rd Americus, GA - 317099243 |
Business Phone Number: | 2299311274 |
Business Fax Number: | 2299311314 |
Mailing Address: | 2366 Lee Street Rd, AMERICUS |
State: | GA |
Postal Code: | 317099243 |
Phone Number: | 2299311274 |
Fax Number: | 2299311314 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |