Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103G00000X | Clinical Psychologist | 013016 | NY |
N | 103TC0700X | Clinical Psychologist | 013016 | NY |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TP0814X | Psychoanalysis |
NPI | 1255439659 |
---|---|
Provider Name | Dr. Richard R. Sternberg |
First Address | Hewlett, NY 11557-1922 |
Second Address | Hewlett, NY 11557-1922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01764823 | (05) | NY |
V92241 | (02) | NY |