Individual
REBECCA SERAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGY
Contact information
Practice address
2350 POLE AVE, LORAIN, OH 44052-4301
(440) 960-5800
Mailing address
2350 POLE AVE, LORAIN, OH 44052-4301
(440) 960-5800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7255198
—
OH
Enumeration date
09/29/2006
Last updated
03/14/2014
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