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NPI Code Detail

MEDICARE: MRS. SUZANNE KAY REGAN

MEDICARE: MRS. SUZANNE KAY REGAN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1821285867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE KAY REGAN
Provider Business Mailing Address
First Line : 37 BELMONT ST
Second Line : SOUTH BAY MENTAL HEALTH
City : BROCKTON
State : MA
Zip : 02301
Country : US
Telephone Number : 978-452-1736
Fax Number :
Provider Business Practice Location Address
First Line : 148 WARREN ST
Second Line :
City : LOWELL
State : MA
Zip : 01852-2208
Country : US
Telephone Number : 978-452-1736
Fax Number : 978-452-0625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 10/03/2007

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Directions to “ MRS. SUZANNE KAY REGAN ” Practice Location

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