Individual
NEFTALI SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
(608) 443-5534
Mailing address
2901 W BELTLINE HWY, SUITE 120, MADISON, WI 53713-4226
(608) 443-5500
(608) 441-1981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2601-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601-57
PSYCHOLOGIST
WI
Enumeration date
08/12/2006
Last updated
12/18/2012
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