Individual
JOHN T REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-5640
Mailing address
2400 MCKAIL RD, BRUCE, MI 48065-1015
(810) 798-2389
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301002880
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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