Doctor Name: | MS. REGINA ANNETTE MORAN |
NPI Number: | 1043569544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | PC006038 |
Business Practice Address: | 4 S 4th St Reading, PA - 196022820 |
Business Phone Number: | 6103768558 |
Business Fax Number: | |
Mailing Address: | 5039 Valley View Rd, MOHNTON |
State: | PA |
Postal Code: | 195407612 |
Phone Number: | 6107751370 |
Fax Number: | 6103762779 |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC006038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |