Provider Demographics
NPI:1184109357
Name:STERN, ZAHAVA (SLP)
Entity type:Individual
Prefix:MRS
First Name:ZAHAVA
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 KEW GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7102
Mailing Address - Country:US
Mailing Address - Phone:917-525-6587
Mailing Address - Fax:
Practice Address - Street 1:42 KEW GARDENS DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-7102
Practice Address - Country:US
Practice Address - Phone:917-525-6587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist