Doctor Name: | MRS. JENNIFER MARIE CERVI |
NPI Number: | 1053592006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2563 Union Rd Cheektowaga, NY - 142272275 |
Business Phone Number: | 7166687622 |
Business Fax Number: | 7166687623 |
Mailing Address: | 3020 Bailey Ave, BUFFALO |
State: | NY |
Postal Code: | 142152814 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |