Healthcare Provider Details

I. General information

NPI: 1265048318
Provider Name (Legal Business Name): REGAN MARIE DURAK CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3178 HILTON RD
FERNDALE MI
48220-1059
US

IV. Provider business mailing address

2174 MAPLEDALE ST
FERNDALE MI
48220-1112
US

V. Phone/Fax

Practice location:
  • Phone: 248-629-4600
  • Fax:
Mailing address:
  • Phone: 586-854-3167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009527
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: