Provider Demographics
NPI:1396715082
Name:SECKINGER, REGINE ANNA (PHD)
Entity type:Individual
Prefix:DR
First Name:REGINE ANNA
Middle Name:
Last Name:SECKINGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 W 30TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4406
Mailing Address - Country:US
Mailing Address - Phone:646-528-8988
Mailing Address - Fax:646-969-0884
Practice Address - Street 1:7 W 30TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4406
Practice Address - Country:US
Practice Address - Phone:646-528-8988
Practice Address - Fax:646-969-0884
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016528103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV833P1Medicare ID - Type UnspecifiedPART B PROVIDER