Provisiero, Regina Ann

Provisiero, Regina Ann is an individual health care provider with primary practice located at 220 Windward Ct N , Port Jefferson NY 11777-2323. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Provisiero, Regina Ann can be contacted via phone (631) 525-7514.

Contact Information

Primary practice address
220 Windward Ct N Port Jefferson NY 11777-2323
Phone: (631) 525-7514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 58017705 New York

Profile Details

NPI number 1457596207
LBN Legal business name Provisiero, Regina Ann
Credentials MA/CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 2008 - 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.

Request for update

Popular Providers