Provider Demographics
NPI:1407080336
Name:KELLEY, REGINA MARGARET (MSW)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:MARGARET
Last Name:KELLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:REGINA
Other - Middle Name:MARGARET
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:334 YORK STREET
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1930
Practice Address - Country:US
Practice Address - Phone:717-337-0751
Practice Address - Fax:717-337-1609
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst