Provider Demographics
NPI:1023866084
Name:PEDROZA, SERENA JAE (MS SLP)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:JAE
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:SERENA
Other - Middle Name:JAE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13700 PASEO HERMOSO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-8420
Mailing Address - Country:US
Mailing Address - Phone:915-328-2439
Mailing Address - Fax:
Practice Address - Street 1:1 W ELLIOT RD STE 109
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1310
Practice Address - Country:US
Practice Address - Phone:480-374-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist