Provider Demographics
NPI:1548017536
Name:STERNBACH, ZOE J (SLP)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:J
Last Name:STERNBACH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GREENHILL AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-4618
Mailing Address - Country:US
Mailing Address - Phone:508-455-7064
Mailing Address - Fax:
Practice Address - Street 1:16 CHESTNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1462
Practice Address - Country:US
Practice Address - Phone:508-698-7973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist