Individual
DAVID STERN
Active
Individual
DAVID STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1449
MN
1041C0700X
Clinical Social Worker
Primary
7483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06H9ST
BCBS MN
MN
01
—
31002005
PRIMEWEST
MN
05
—
522853100
—
MN
01
—
56308-A004
TRI WEST
MN
01
—
62-70233
MEDICA UBH
MN
Enumeration date
04/24/2007
Last updated
02/25/2020
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