| Doctor Name: | ALANNA D. REGAN |
| NPI Number: | 1023129889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W.-R |
| License Number: | R070974-1 |
| Business Practice Address: | 267 E Main St Bldg. B-23 Smithtown, NY - 117872874 |
| Business Phone Number: | 5166524487 |
| Business Fax Number: | 6317515132 |
| Mailing Address: | 116 Tuthill St, PORT JEFFERSON |
| State: | NY |
| Postal Code: | 117771824 |
| Phone Number: | 5166524487 |
| Fax Number: | 6317515132 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R070974-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |