Provider Demographics
NPI:1982802120
Name:COX, R. REGINA (MA MFTI)
Entity Type:Individual
Prefix:MS
First Name:R.
Middle Name:REGINA
Last Name:COX
Suffix:
Gender:F
Credentials:MA MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-2724
Mailing Address - Country:US
Mailing Address - Phone:323-293-5020
Mailing Address - Fax:323-293-5029
Practice Address - Street 1:2323 W MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-2724
Practice Address - Country:US
Practice Address - Phone:323-293-5020
Practice Address - Fax:323-293-5029
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist