Theobald, Regina R
Theobald, Regina R is an sole proprietor health care provider with primary practice located at 2141 Portside Ct , Discovery Bay CA 94514-9201. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Theobald, Regina R can be contacted via phone (925) 513-3953.Contact Information
Primary practice address
2141 Portside Ct
Discovery Bay CA 94514-9201
Phone: (925) 513-3953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 34196 | California |
Profile Details
| NPI number | 1578653895 |
|---|---|
| LBN Legal business name | Theobald, Regina R |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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