Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1017 | OK |
Y | 103T00000X | Psychologist | 1017 | OK |
NPI | 1003956749 |
---|---|
Provider Name | Dr. Steven Allen Sternlof |
First Address | Oklahoma City, OK 73116-3632 |
Second Address | Oklahoma City, OK 73116-3632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 21/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200028080A | (05) | OK |