Provider Demographics
NPI:1427112671
Name:STERN, MARTIN JEROLD (PHD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:JEROLD
Last Name:STERN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:8700 BEVERLY BLVD
Mailing Address - Street 2:CEDARS-SINAI MEDICAL CENTER N TOWER RM 7215
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1804
Mailing Address - Country:US
Mailing Address - Phone:310-423-3933
Mailing Address - Fax:310-423-4868
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:CEDARS-SINAI MEDICAL CENTER N TOWER RM 7215
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-3933
Practice Address - Fax:310-423-4868
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2008-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY14240103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist