Provider Demographics
NPI:1134248347
Name:STERNE, SHARON ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANNE
Last Name:STERNE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-4205
Mailing Address - Country:US
Mailing Address - Phone:707-766-7602
Mailing Address - Fax:
Practice Address - Street 1:1 BODEGA AVE
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2666
Practice Address - Country:US
Practice Address - Phone:707-766-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5327103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical