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NPI 1679799878

NPI 1679799878 : RICHARD IRA STERNBERG PH.D., DABFE, DACFE : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1679799878
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD IRA STERNBERG PH.D., DABFE, DACFE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/17/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    22 FIFTH STREET THE PENTHOUSE
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06905-5030
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    Country              |    US
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    Telephone            |    203-359-4777
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    Fax                  |    914-472-2914
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Provider Business Mailing Address
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    Address Line         |    308 HEATHCOTE RD 
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    City                 |    SCARSDALE
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    State                |    NY
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    Zip                  |    10583-7106
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    Country              |    US
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    Telephone            |    914-472-2914
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    Fax                  |    914-472-2914
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    754
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    1631
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    21212
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    NY
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