Provider Demographics
NPI:1386055861
Name:STERNITZKY, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STERNITZKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 S WITTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5206
Mailing Address - Country:US
Mailing Address - Phone:612-750-7384
Mailing Address - Fax:
Practice Address - Street 1:7517 WEST COLD SRING ROAD
Practice Address - Street 2:GREENFIELD REHABILITATION AGENCY
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53229-2814
Practice Address - Country:US
Practice Address - Phone:414-327-6603
Practice Address - Fax:414-327-5411
Is Sole Proprietor?:No
Enumeration Date:2014-05-18
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist