Provider Demographics
NPI:1356774582
Name:SHVETS, REGINA
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:
Last Name:SHVETS
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 1:2175 E 15TH ST
Mailing Address - Street 2:APT. 6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4355
Mailing Address - Country:US
Mailing Address - Phone:347-770-1177
Mailing Address - Fax:
Practice Address - Street 1:2175 E 15TH ST
Practice Address - Street 2:APT. 6B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4355
Practice Address - Country:US
Practice Address - Phone:347-770-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist