Provider Demographics
NPI:1154485571
Name:STERMAN, LORRAINE T (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:T
Last Name:STERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S BEVERLY DR
Mailing Address - Street 2:SUITE 409
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4312
Mailing Address - Country:US
Mailing Address - Phone:310-273-6357
Mailing Address - Fax:310-273-6379
Practice Address - Street 1:315 S BEVERLY DR
Practice Address - Street 2:SUITE 409
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4312
Practice Address - Country:US
Practice Address - Phone:310-273-6357
Practice Address - Fax:310-273-6379
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10493103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP10493Medicare ID - Type Unspecified