Provider Demographics
NPI:1902201247
Name:STERNHAGEN, ABBIE (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:STERNHAGEN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-9170
Mailing Address - Country:US
Mailing Address - Phone:580-467-7250
Mailing Address - Fax:
Practice Address - Street 1:301 EDELWEISS DR STE 7
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3931
Practice Address - Country:US
Practice Address - Phone:406-219-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112134235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist