Individual
DR. SERINA ANNE FACIANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 620-2221
(504) 620-2822
Mailing address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 620-2221
(504) 620-2822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1079
LA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1079
LA
103TS0200X
School Psychologist
1079
LA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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