Provider Demographics
NPI:1598820011
Name:STERN, JOAN WEAVER (MFT)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:WEAVER
Last Name:STERN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 MAYHEW WAY STE 606
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4337
Mailing Address - Country:US
Mailing Address - Phone:925-932-0150
Mailing Address - Fax:925-210-0842
Practice Address - Street 1:140 MAYHEW WAY STE 606
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4337
Practice Address - Country:US
Practice Address - Phone:925-932-0150
Practice Address - Fax:925-210-0842
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22503106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist