Daniel P. Sternberg, Phd, Llc | |
150 S 600 E 4c Salt Lake City UT 84102-1999 | |
(801) 364-2779 | |
(801) 582-9360 |
Full Name | Daniel P. Sternberg, Phd, Llc |
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Speciality | Psychologist |
Location | 150 S 600 E, Salt Lake City, Utah |
Authorized Official Name and Position | Daniel Paul Sternberg (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 8013642779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel P. Sternberg, Phd, Llc Po Box 58275 Salt Lake City UT 84158-0275 Ph: (801) 364-2779 | Daniel P. Sternberg, Phd, Llc 150 S 600 E 4c Salt Lake City UT 84102-1999 Ph: (801) 364-2779 |
NPI Number | 1205149150 |
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Provider Enumeration Date | 07/21/2010 |
Last Update Date | 07/21/2010 |
Medicare PECOS PAC ID | 8022141951 |
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Medicare Enrollment ID | O20150914002761 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205149150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 106262-2501 (Utah) | Primary |
Provider Name | Daniel P Sternberg |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1215900915 PECOS PAC ID: 3173580586 Enrollment ID: I20150916003486 |
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