Dekeyzer, Regina M

Dekeyzer, Regina M is an individual health care provider with primary practice located at 5920 Coliseum Blvd , Alexandria LA 71303-3714. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dekeyzer, Regina M can be contacted via phone (318) 487-9895.

Contact Information

Primary practice address
5920 Coliseum Blvd Alexandria LA 71303-3714
Fax: (318) 443-9116
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LA3902 Louisiana

Profile Details

NPI number 1558309237
LBN Legal business name Dekeyzer, Regina M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558309237 NPPES
Louisiana MEDICAID 1304662

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