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
Phone: (318) 487-9895
Fax: (318) 443-9116
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558309237 | NPPES |
Louisiana | MEDICAID | 1304662 |
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