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NPI Code Detail

MEDICARE: MS. MELISSA B REGAN LMFT

MEDICARE: MS. MELISSA B REGAN 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1922761550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA B REGAN LMFT
Provider Business Mailing Address
First Line : 963 EDGECLIFFE DR APT 5
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1552
Country : US
Telephone Number : 818-292-0224
Fax Number :
Provider Business Practice Location Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2021
Last Update Date : 10/28/2021

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Directions to “ MS. MELISSA B REGAN LMFT” Practice Location

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