Provider Demographics
NPI:1558565895
Name:STERLING, MOLLY MERRILL (BOTH PHD AND MFC)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:MERRILL
Last Name:STERLING
Suffix:
Gender:F
Credentials:BOTH PHD AND MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 LOVELL AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941
Mailing Address - Country:US
Mailing Address - Phone:415-383-1006
Mailing Address - Fax:
Practice Address - Street 1:100 TAMAL PLAZA
Practice Address - Street 2:SUITE 170
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925
Practice Address - Country:US
Practice Address - Phone:415-927-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13813103TC0700X
CAMFC21899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist