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NPI Code Detail

MEDICARE: MS. MARIA TERESA SERRA MS

MEDICARE: MS. MARIA TERESA SERRA MS
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
1101YM0800XMental Health CounselorMT2396FL
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396995387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA TERESA SERRA MS
Provider Business Mailing Address
First Line : 430 W 66TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6646
Country : US
Telephone Number : 305-558-2480
Fax Number : 305-828-3146
Provider Business Practice Location Address
First Line : 430 W 66TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6646
Country : US
Telephone Number : 305-558-2480
Fax Number : 305-828-3146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2008
Last Update Date : 08/05/2021

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Directions to “ MS. MARIA TERESA SERRA MS” Practice Location

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