Doctor Name: | MS. JENNIFER MARIE SERBES |
NPI Number: | 1306215611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 15050 14th Rd Whitestone, NY - 113572609 |
Business Phone Number: | 7187670071 |
Business Fax Number: | 7187670086 |
Mailing Address: | 2426 35th St, Apt. 2 LONG ISLAND CITY |
State: | NY |
Postal Code: | 111034410 |
Phone Number: | 6319027299 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |