Driscoll, Regina M

Driscoll, Regina M is an individual health care provider with primary practice located at 2332 Lexington Ave N , Roseville MN 55113-4336. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Driscoll, Regina M can be contacted via phone (651) 247-3004.

Contact Information

Primary practice address
2332 Lexington Ave N Roseville MN 55113-4336
Phone: (651) 247-3004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1485 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP1485 Minnesota
Behavioral Health & Social Service Providers / Health Service 103TH0100X LP1485 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1485 Minnesota

Profile Details

NPI number 1891808424
LBN Legal business name Driscoll, Regina M
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Dec 11th, 2008 - about 16 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 1891808424 NPPES
Minnesota MEDICAID 910048200

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