Individual
LESLIE STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
85 5TH AVE, 906, NEW YORK, NY 10003-3019
(212) 242-0624
Mailing address
16 W 16TH ST, 11DS, NEW YORK, NY 10011-6328
(212) 242-0624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8060
NY
103TC0700X
Clinical Psychologist
Primary
8060
NY
103TC1900X
Counseling Psychologist
8060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01692442
—
NY
Enumeration date
08/01/2006
Last updated
03/25/2015
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