Provider Demographics
NPI:1427370006
Name:DARLING, REGINA AW (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:AW
Last Name:DARLING
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:ANTANETTE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:785 GRAND AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2370
Mailing Address - Country:US
Mailing Address - Phone:760-730-9675
Mailing Address - Fax:760-730-9669
Practice Address - Street 1:785 GRAND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2370
Practice Address - Country:US
Practice Address - Phone:760-730-9675
Practice Address - Fax:760-730-9669
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 12774235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist