MEDICARE: DR. TONI ANN SERPE PSYD

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
1	103TS0200X	School Psychologist	602566	NY
2	103T00000X	Psychologist	019682-1	NY
3	103T00000X	Psychologist	PY11022	FL

General Provider Information

NPI Number	:	1831443118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONI ANN SERPE PSYD

Provider Business Mailing Address
First Line	:	13169 STEINHATCHEE LOOP
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-1247
Country	:	US
Telephone Number	:	631-921-8393
Fax Number	:

Provider Business Practice Location Address
First Line	:	871 VENETIA BAY BLVD STE 310
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-8054
Country	:	US
Telephone Number	:	941-346-6465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	04/20/2026

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