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Individual

DR. REGINA DILLINGHAM SHILLINGLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
88 MDOS/SGOHE/MENTAL HEALTH, WRIGHT PATTERSON MEDICAL CENTER, WRIGHT PATTERSON AFB, OH 45433
(937) 257-6876
(937) 656-1192
Mailing address
88 MDOS/SGOHE/MENTAL HEALTH, WRIGHT PATTERSON MEDICAL CENTER, WRIGHT PATTERSON AFB, OH 45433
(937) 257-6876
(937) 656-1192

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2759
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000351
NC
Enumeration date
08/30/2006
Last updated
02/19/2008
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