Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 00617 | MD |
N | 103T00000X | Psychologist | 00617 | MD |
N | 103TA0700X | Adult Development & Aging Psychologist | 00617 | MD |
N | 103G00000X | Clinical Psychologist | 00617 | MD |
N | 103TC0700X | Clinical Psychologist | 00617 | MD |
N | 103TF0000X | Family Psychologist | 00617 | MD |
N | 103TP2701X | Group Psychotherapist | 00617 | MD |
NPI | 1013040013 |
---|---|
Provider Name | Dr. Barry S. Sternfeld |
First Address | Columbia, MD 21044-3682 |
Second Address | Columbia, MD 21044-3682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00617 | LICENSE (01) | MD |