Provider Demographics
NPI:1679109821
Name:MEROLLA-SERATING, MICHELE CATHERINE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:CATHERINE
Last Name:MEROLLA-SERATING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 W MAIN ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3887
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:286 W MAIN ST STE 3A
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3887
Practice Address - Country:US
Practice Address - Phone:508-460-3823
Practice Address - Fax:508-460-8069
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA469237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist