Provider Demographics
NPI:1164664892
Name:STERLING, LISA MARIE (MS, CCC/A)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MARIE
Last Name:STERLING
Suffix:
Gender:F
Credentials:MS, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3156
Mailing Address - Country:US
Mailing Address - Phone:585-544-1240
Mailing Address - Fax:585-336-5880
Practice Address - Street 1:1545 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3156
Practice Address - Country:US
Practice Address - Phone:585-544-1240
Practice Address - Fax:585-336-5880
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001877231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist