Individual
ALANNA D. REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.-R
Contact information
Practice address
267 E MAIN ST, BLDG. B-23, SMITHTOWN, NY 11787-2874
(516) 652-4487
(631) 751-5132
Mailing address
116 TUTHILL ST, PORT JEFFERSON, NY 11777-1824
(516) 652-4487
(631) 751-5132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R070974-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2781903
OXFORD PROVIDER ID #
NY
Enumeration date
08/31/2006
Last updated
05/29/2013
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