Provider Demographics
NPI:1316223753
Name:SERIANNI, KARA A (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:A
Last Name:SERIANNI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 WILLOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3057
Mailing Address - Country:US
Mailing Address - Phone:716-250-1575
Mailing Address - Fax:
Practice Address - Street 1:480 WILLOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-3057
Practice Address - Country:US
Practice Address - Phone:716-250-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020878235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist