Provider Demographics
NPI:1740618198
Name:SEROCZYNSKI, TORRIE LANE ALBERSTADT (MS)
Entity Type:Individual
Prefix:MRS
First Name:TORRIE
Middle Name:LANE ALBERSTADT
Last Name:SEROCZYNSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:TORRIE
Other - Middle Name:LANE
Other - Last Name:ALBERSTADT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:242 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1144
Mailing Address - Country:US
Mailing Address - Phone:661-302-8865
Mailing Address - Fax:
Practice Address - Street 1:242 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1144
Practice Address - Country:US
Practice Address - Phone:661-302-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023297235Z00000X
NJ41YS00762900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist