Doctor Name: | NICOLE REGO |
NPI Number: | 1134547938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2370 Hume Ln Enola, PA - 170252097 |
Business Phone Number: | 7176952647 |
Business Fax Number: | |
Mailing Address: | 2370 Hume Ln, ENOLA |
State: | PA |
Postal Code: | 170252097 |
Phone Number: | 7176952647 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2014 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |