Provider Demographics
NPI:1427646801
Name:PALAZZOLO, SERAFINA MARIANNA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SERAFINA
Middle Name:MARIANNA
Last Name:PALAZZOLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OAK KNOLL GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3833
Mailing Address - Country:US
Mailing Address - Phone:917-664-7422
Mailing Address - Fax:
Practice Address - Street 1:20 OAK KNOLL GARDENS DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3833
Practice Address - Country:US
Practice Address - Phone:917-664-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27254235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist