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NPI Code Detail

MEDICARE: MR. WILLIAM BARNABY STERLING

MEDICARE: MR. WILLIAM BARNABY STERLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902095011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM BARNABY STERLING
Provider Business Mailing Address
First Line : 707 FAIR AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-5828
Country : US
Telephone Number : 831-427-1007
Fax Number : 831-454-0545
Provider Business Practice Location Address
First Line : 707 FAIR AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-5828
Country : US
Telephone Number : 831-427-1007
Fax Number : 831-454-0545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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