| Doctor Name: | MR. JAMES M REGAN |
| NPI Number: | 1043466105 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCC-SLP |
| License Number: | SP 7879 |
| Business Practice Address: | 486 South Main Street Andover Village Retirement Center Andover, OH - 44003 |
| Business Phone Number: | 4402935416 |
| Business Fax Number: | 4402936079 |
| Mailing Address: | 414 Beverly Dr, ERIE |
| State: | PA |
| Postal Code: | 165052208 |
| Phone Number: | 8144537967 |
| Fax Number: | 8144537967 |
| NPI Enumeration Date: | 08/08/2008 |
| NPI Last Update Date: | 08/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 7879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |