Doctor Name: | JAYNE P. SERINO |
NPI Number: | 1023191541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 6078 |
Business Practice Address: | 572 Main St 680 Falmouth Road Mashpee W Yarmouth, MA - 026734909 |
Business Phone Number: | 5087750719 |
Business Fax Number: | |
Mailing Address: | 572 Main St, Po Box 940 W YARMOUTH |
State: | MA |
Postal Code: | 026734909 |
Phone Number: | 5087750719 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2006 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |