Provider Demographics
NPI:1114239548
Name:FEINBERG, REGINA K (MA, CCC)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:K
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 SE 28TH ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2910
Mailing Address - Country:US
Mailing Address - Phone:206-226-8813
Mailing Address - Fax:630-604-9955
Practice Address - Street 1:8015 SE 28TH ST
Practice Address - Street 2:SUITE 309
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2910
Practice Address - Country:US
Practice Address - Phone:206-226-8813
Practice Address - Fax:630-604-9955
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00001598235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist