Provider Demographics
NPI:1881183788
Name:STERNBERG, MELISA LYNN
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:LYNN
Last Name:STERNBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MELISA
Other - Middle Name:LYNN
Other - Last Name:STERNBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HIS
Mailing Address - Street 1:3031 O ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1512
Mailing Address - Country:US
Mailing Address - Phone:402-759-0554
Mailing Address - Fax:
Practice Address - Street 1:3031 O ST STE 104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1512
Practice Address - Country:US
Practice Address - Phone:402-489-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter