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NPI Code Detail

MEDICARE: MRS. REGINA MARIE ABERNETHY MA, LMFT

MEDICARE:  MRS. REGINA MARIE ABERNETHY  MA, LMFT
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
1101YM0800XMental Health CounselorMF000464PA

General Provider Information

NPI Number : 1407940612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REGINA MARIE ABERNETHY MA, LMFT
Provider Business Mailing Address
First Line : 444 JEFFERSON DR
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-4413
Country : US
Telephone Number : 215-357-2604
Fax Number :
Provider Business Practice Location Address
First Line : 521 MOREDON RD
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-7705
Country : US
Telephone Number : 215-938-1130
Fax Number : 215-914-4197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. REGINA MARIE ABERNETHY MA, LMFT” Practice Location

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