Provider Demographics
NPI:1245491687
Name:DARGEL, REGINA LEIGH
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:LEIGH
Last Name:DARGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:693 BELFLOWER PL
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-2730
Mailing Address - Country:US
Mailing Address - Phone:407-920-9413
Mailing Address - Fax:
Practice Address - Street 1:693 BELFLOWER PL
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-2730
Practice Address - Country:US
Practice Address - Phone:407-920-9413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ4515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist