Provider Demographics
NPI:1427537489
Name:SERRA, NEUZA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NEUZA
Middle Name:
Last Name:SERRA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 PENN ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08102-1410
Mailing Address - Country:US
Mailing Address - Phone:856-225-6005
Mailing Address - Fax:
Practice Address - Street 1:326 PENN ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-1410
Practice Address - Country:US
Practice Address - Phone:856-225-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00291300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist