Provider Demographics
NPI:1831443118
Name:SERPE, TONI ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:TONI ANN
Middle Name:
Last Name:SERPE
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 1:13169 STEINHATCHEE LOOP
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1247
Mailing Address - Country:US
Mailing Address - Phone:631-921-8393
Mailing Address - Fax:
Practice Address - Street 1:871 VENETIA BAY BLVD STE 310
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-8054
Practice Address - Country:US
Practice Address - Phone:941-346-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11022103T00000X
NY602566103TS0200X
NY019682-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool