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NPI Code Detail

MEDICARE: MS. REGINA HEYWARD THERAPIST

MEDICARE: MS. REGINA HEYWARD THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518083591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REGINA HEYWARD THERAPIST
Provider Business Mailing Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 803-216-4067
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 803-216-4067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 10/03/2016

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Directions to “ MS. REGINA HEYWARD THERAPIST” Practice Location

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