Provider Demographics
NPI:1831927037
Name:SERINA, CRISTI LOUISE
Entity type:Individual
Prefix:
First Name:CRISTI
Middle Name:LOUISE
Last Name:SERINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTI
Other - Middle Name:LOUISE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:928 TOLMAN ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-7533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:928 TOLMAN ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-7533
Practice Address - Country:US
Practice Address - Phone:717-991-3506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist