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NPI Code Detail

MEDICARE: SHANNA SERFASS

MEDICARE: SHANNA SERFASS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1811351174
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNA SERFASS
Provider Business Mailing Address
First Line : 2900 SOUTHAMPTON RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-1202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 SOUTHAMPTON RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-1202
Country : US
Telephone Number : 215-671-5155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/12/2016

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Directions to “ SHANNA SERFASS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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