Provider Demographics
NPI:1164754800
Name:STERBER, DEBORAH (MA, CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:STERBER
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-2141
Mailing Address - Country:US
Mailing Address - Phone:585-342-1454
Mailing Address - Fax:
Practice Address - Street 1:241 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-2141
Practice Address - Country:US
Practice Address - Phone:585-342-1454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003847-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist