Provider Demographics
NPI:1457999302
Name:STERLING, CANARY (PHD)
Entity type:Individual
Prefix:DR
First Name:CANARY
Middle Name:
Last Name:STERLING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CANARY
Other - Middle Name:
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR STERLING
Mailing Address - Street 1:P.O . BOX 506
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551
Mailing Address - Country:US
Mailing Address - Phone:800-711-1584
Mailing Address - Fax:
Practice Address - Street 1:P.O . BOX 506
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551
Practice Address - Country:US
Practice Address - Phone:800-711-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional