Provider Demographics
NPI:1689712218
Name:REGAN, ANNE M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:REGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11249 LOCKWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4564
Mailing Address - Country:US
Mailing Address - Phone:301-989-9145
Mailing Address - Fax:301-593-1033
Practice Address - Street 1:11249 LOCKWOOD DR
Practice Address - Street 2:STE C
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4563
Practice Address - Country:US
Practice Address - Phone:301-989-9145
Practice Address - Fax:301-593-1033
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2974103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling