Stern, Michael T

Stern, Michael T is an individual health care provider with primary practice located at 500 Gypsy Ln , Youngstown OH 44504-1315. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Stern, Michael T can be contacted via phone (330) 884-3954.

Contact Information

Primary practice address
500 Gypsy Ln Youngstown OH 44504-1315
Phone: (330) 884-3954
Fax: (330) 884-0636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3709 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4370L Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3709 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4370L Pennsylvania

Profile Details

NPI number 1477543528
LBN Legal business name Stern, Michael T
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477543528 NPPES
Ohio MEDICAID 0669245
Ohio Other 4370L
Ohio Other 3709

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