Individual
AMANDA REGEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 N VETERANS PKWY STE 328, BLOOMINGTON, IL 61704-0919
(309) 948-6469
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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