Healthcare Provider Details

I. General information

NPI: 1710881404
Provider Name (Legal Business Name): JENNA MARIE CERRA M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 CONEWANGO AVE
WARREN PA
16365-1678
US

IV. Provider business mailing address

108 MEMORIAL DR
WARREN PA
16365-4112
US

V. Phone/Fax

Practice location:
  • Phone: 814-723-2872
  • Fax: 814-723-2875
Mailing address:
  • Phone: 814-723-2872
  • Fax: 814-723-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL014361
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: