Provider Demographics
NPI:1982205522
Name:STERBACH, RUTH ALIZABETH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ALIZABETH
Last Name:STERBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 MAN O WAR DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-4600
Mailing Address - Country:US
Mailing Address - Phone:910-537-0440
Mailing Address - Fax:
Practice Address - Street 1:4140 FERNCREEK DR STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2565
Practice Address - Country:US
Practice Address - Phone:910-779-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0153581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical