Provider Demographics
NPI:1144317108
Name:STERLING, BEVERLY ANN (MED, CCC-SP)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:ANN
Last Name:STERLING
Suffix:
Gender:F
Credentials:MED, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 SAVANNAH CT
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-1739
Mailing Address - Country:US
Mailing Address - Phone:254-366-1491
Mailing Address - Fax:254-399-8722
Practice Address - Street 1:2924 SAVANNAH CT
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-1739
Practice Address - Country:US
Practice Address - Phone:254-366-1491
Practice Address - Fax:254-399-8722
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12814235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist