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NPI Code Detail

MEDICARE: REGINA NIEWODOWSKI LPC, ATC-BC

MEDICARE: REGINA NIEWODOWSKI LPC, ATC-BC
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 CounselorPC001048PA
2101YP2500XProfessional CounselorPC001048PA

General Provider Information

NPI Number : 1518017565
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA NIEWODOWSKI LPC, ATC-BC
Provider Business Mailing Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 610-892-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 610-892-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 08/27/2025

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