Provider Demographics
NPI:1407881451
Name:STERN, RHONDA JEAN (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JEAN
Last Name:STERN
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E BEAVER AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-5606
Mailing Address - Country:US
Mailing Address - Phone:814-861-4577
Mailing Address - Fax:
Practice Address - Street 1:700 E BEAVER AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5606
Practice Address - Country:US
Practice Address - Phone:814-861-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001921101YP2500X
PA221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019150610002Medicaid