Doctor Name: | LYDIA E SERRANO |
NPI Number: | 1073705638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 147 Norman St West Springfield, MA - 010895003 |
Business Phone Number: | 4137368329 |
Business Fax Number: | 4137341561 |
Mailing Address: | 147 Norman St, WEST SPRINGFIELD |
State: | MA |
Postal Code: | 010895003 |
Phone Number: | 4137368329 |
Fax Number: | 4137341561 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |