Provider Demographics
NPI:1053475475
Name:STERN, NAOMI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:HOMNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28598 YESHIVA LN
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2728
Mailing Address - Country:US
Mailing Address - Phone:440-943-5594
Mailing Address - Fax:
Practice Address - Street 1:1111 SUPERIOR AVE E
Practice Address - Street 2:SUITE 1800
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2522
Practice Address - Country:US
Practice Address - Phone:216-838-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.9857235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist