Provider Demographics
NPI:1407918618
Name:STERN, ANDREW LUDLOW (MFT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LUDLOW
Last Name:STERN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:L
Other - Last Name:STERN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:3555 WHIPPLE RD
Mailing Address - Street 2:DEPT OF PSYCHIATRY, BLDG A
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1507
Mailing Address - Country:US
Mailing Address - Phone:510-675-4549
Mailing Address - Fax:
Practice Address - Street 1:3555 WHIPPLE RD
Practice Address - Street 2:DEPT OF PSYCHIATRY, BLDG A
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1507
Practice Address - Country:US
Practice Address - Phone:510-675-4549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 32527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist