Provider Demographics
NPI:1336204403
Name:REBECCA S. STERLING, PH.D.
Entity Type:Organization
Organization Name:REBECCA S. STERLING, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-561-2861
Mailing Address - Street 1:300 AUSTIN HWY STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5303
Mailing Address - Country:US
Mailing Address - Phone:210-561-2861
Mailing Address - Fax:210-561-2863
Practice Address - Street 1:300 AUSTIN HWY STE 140
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5303
Practice Address - Country:US
Practice Address - Phone:210-561-2861
Practice Address - Fax:210-561-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23482103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOODX01Medicaid