Provider Demographics
NPI:1598990582
Name:REGAN, MARY CATHERINE (MMSC, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:REGAN
Suffix:
Gender:F
Credentials:MMSC, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LEMORE CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08553-1008
Mailing Address - Country:US
Mailing Address - Phone:609-933-7730
Mailing Address - Fax:609-252-0091
Practice Address - Street 1:4 LEMORE CIR
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08553-1008
Practice Address - Country:US
Practice Address - Phone:609-933-7730
Practice Address - Fax:609-252-0091
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00291000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist