Doctor Name: | MISS TRICIA LYNN REGO |
NPI Number: | 1033358866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 6987 |
Business Practice Address: | 5618 Owens Dr Apt 204 Pleasanton, CA - 945884657 |
Business Phone Number: | 5083806710 |
Business Fax Number: | |
Mailing Address: | 5618 Owens Dr, Apt 204 PLEASANTON |
State: | CA |
Postal Code: | 945884657 |
Phone Number: | 5083806710 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 10/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6987 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |