MEDICARE: DR. MYRON BUD STERN PH.D.

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
1	103TC0700X	Clinical Psychologist	339	OH
2	103TC2200X	Clinical Child & Adolescent Psychologist	339	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710028774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYRON BUD STERN PH.D.

Provider Business Mailing Address
First Line	:	50 PUBLIC SQ
Second Line	:	TERMINAL TOWER, STE. 852
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2208
Country	:	US
Telephone Number	:	216-579-0560
Fax Number	:	216-579-0544

Provider Business Practice Location Address
First Line	:	50 PUBLIC SQ
Second Line	:	TERMINAL TOWER, STE. 852
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2208
Country	:	US
Telephone Number	:	216-579-0560
Fax Number	:	216-579-0544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	09/11/2025

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