Healthcare Provider Details

I. General information

NPI: 1811681943
Provider Name (Legal Business Name): REGAN ARCEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 W COLLEGE ST
TROY MO
63379-1109
US

IV. Provider business mailing address

1852 AUTUMN TRL
WENTZVILLE MO
63385-2757
US

V. Phone/Fax

Practice location:
  • Phone: 636-462-4934
  • Fax:
Mailing address:
  • Phone: 563-272-8718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.007167
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2025035676
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: