Healthcare Provider Details

I. General information

NPI: 1780595272
Provider Name (Legal Business Name): MS. DIONNE ROBIN REGIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 COLORADO BLVD STE 101
DENTON TX
76210-6872
US

IV. Provider business mailing address

3130 HERITAGE TRAIL BLVD APT 1707
DENTON TX
76201-1580
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-1510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: