Individual
MRS. COLLEEN ELIZABETH REGNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
117 W LIVINGSTON ST, PONTIAC, IL 61764-1821
(815) 844-3023
Mailing address
655 N 875TH RD, WENONA, IL 61377-9307
(217) 714-4396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013384
IL
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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