Provider Demographics
NPI:1134361843
Name:JAMESON, REGINA (AUD)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:JAMESON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2 COUNTRY CLUB ROAD
Mailing Address - Street 2:GLENS FALLS HOSPITAL - THE HEARING CENTER
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804
Mailing Address - Country:US
Mailing Address - Phone:518-926-2000
Mailing Address - Fax:518-926-2020
Practice Address - Street 1:25 WILLOWBROOK RD SUITE 1
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-5882
Practice Address - Country:US
Practice Address - Phone:518-926-2065
Practice Address - Fax:518-926-2041
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0008381231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist