Regina, Joanne M

Regina, Joanne M is an individual health care provider with primary practice located at 264 E Broad St , Bethlehem PA 18018-6224. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Regina, Joanne M can be contacted via phone (610) 866-9311.

Contact Information

Primary practice address
264 E Broad St Bethlehem PA 18018-6224
Phone: (610) 866-9311
Fax: (610) 882-2072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS005682L Pennsylvania

Profile Details

NPI number 1760470090
LBN Legal business name Regina, Joanne M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 28th, 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 1760470090 NPPES
Pennsylvania Other 620272 HIGHMARK
Pennsylvania Other 01976801 HIGHMARK
Pennsylvania Other 4357978 HIGHMARK

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