Provider Demographics
NPI:1588997209
Name:STERK, LISA FALCONERO (PSYD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:FALCONERO
Last Name:STERK
Suffix:
Gender:F
Credentials:PSYD
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Other - Credentials:
Mailing Address - Street 1:PERRY POINT VA MEDICAL CENTER
Mailing Address - Street 2:WARD 364A
Mailing Address - City:PERRY POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21902
Mailing Address - Country:US
Mailing Address - Phone:410-642-2411
Mailing Address - Fax:410-642-1707
Practice Address - Street 1:PERRY POINT VA MEDICAL CENTER
Practice Address - Street 2:WARD 364A
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:410-642-1707
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist