Theresa M. Regan is a Clinical in Peoria, Illinois. Theresa M. Regan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa M. Regan is 1598785644. The last update date is 2007-07-08.
Theresa M. Regan's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096557378 and fax number 3096554609. The mailing address for Theresa M. Regan is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M. Regan |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096557378 |
| Fax Number | 3096554609 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1598785644 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096557378 |
| Fax Number | 3096554609 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207414 | MEDICARE GROUP NO. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theresa M. Regan by the Centers for Medicare & Medicaid Services?
The Theresa M. Regan has been issued the NPI (National Provider Identifier) 1598785644 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Theresa M. Regan is physically located?
The Theresa M. Regan is situated at the following address: 530 Ne Glen Oak Ave, Peoria, IL 616370001.
What is Theresa M. Regan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa M. Regan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Theresa M. Regan receive its 1598785644 assignment?
The Theresa M. Regan was assigned its 1598785644 on 2006-07-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Theresa M. Regan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theresa M. Regan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.