| Doctor Name: | MISS REGINA MARIE FACCHINO |
| NPI Number: | 1245601905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | TL-2617 |
| Business Practice Address: | 3349 Highway 138 Wall Township, NJ - 077199671 |
| Business Phone Number: | 7322806050 |
| Business Fax Number: | |
| Mailing Address: | 31 Virginia Ave, HAZLET |
| State: | NJ |
| Postal Code: | 077302249 |
| Phone Number: | 7325989792 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | TL-2617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |