Provider Demographics
NPI:1780816975
Name:STERN, NANCY GINSBURG (PHD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:GINSBURG
Last Name:STERN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:GINSBURG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:550 HAMILTON AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2010
Mailing Address - Country:US
Mailing Address - Phone:650-326-7427
Mailing Address - Fax:650-328-6600
Practice Address - Street 1:550 HAMILTON AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2010
Practice Address - Country:US
Practice Address - Phone:650-326-7427
Practice Address - Fax:650-328-6600
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist