Provider Demographics
NPI:1427295120
Name:STERNBERG, SCOT B (MS, LMFT)
Entity type:Individual
Prefix:
First Name:SCOT
Middle Name:B
Last Name:STERNBERG
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4359
Mailing Address - Country:US
Mailing Address - Phone:617-279-3673
Mailing Address - Fax:978-741-7897
Practice Address - Street 1:70 WASHINGTON ST STE 320
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3520
Practice Address - Country:US
Practice Address - Phone:617-279-3673
Practice Address - Fax:978-741-7897
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist