Provider Demographics
NPI:1023195153
Name:STERN, ADELE (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 CABRINI BLVD
Mailing Address - Street 2:APT. 8E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3635
Mailing Address - Country:US
Mailing Address - Phone:212-923-4556
Mailing Address - Fax:212-239-1688
Practice Address - Street 1:360 CABRINI BLVD
Practice Address - Street 2:APT. 8E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3635
Practice Address - Country:US
Practice Address - Phone:212-923-4556
Practice Address - Fax:212-239-1688
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4077235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist