| Doctor Name: | DR. FERNANDO L REGALADO |
| NPI Number: | 1922149764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 7373 |
| Business Practice Address: | 3225 River Rd Bridge City, LA - 700943351 |
| Business Phone Number: | 5048360074 |
| Business Fax Number: | |
| Mailing Address: | 9361 Sw 54th St, MIAMI |
| State: | FL |
| Postal Code: | 331656523 |
| Phone Number: | 7863488320 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 08/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7373 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |