Individual
DR. ROBERT MICHAEL SERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
5170 SANDERLIN AVE, SUITE 204, MEMPHIS, TN 38117-4360
(901) 761-2622
(901) 761-2355
Mailing address
4900 FAIRFIELD CIR, MEMPHIS, TN 38117-4210
(901) 761-0452
(800) 572-6370
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
78-24P
AR
103TC0700X
Clinical Psychologist
Primary
P551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013747
BLUE CROSS/BLUE SHIELD
TN
01
—
104142
VALUE OPTIONS
TN
Enumeration date
07/18/2006
Last updated
11/22/2011
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