Serio, Constance Nicole

Serio, Constance Nicole is an individual health care provider with primary practice located at 1030 N Blue Grotto Dr , Gilbert AZ 85234-4905. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Serio, Constance Nicole can be contacted via phone (480) 926-6301.

Contact Information

Primary practice address
1030 N Blue Grotto Dr Gilbert AZ 85234-4905
Phone: (480) 926-6301
Fax: (480) 813-9011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1487794756
LBN Legal business name Serio, Constance Nicole
Credentials ED.S., NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487794756 NPPES
Arizona MEDICAID 884173

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