Individual
MS. REGINA HEYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(803) 216-4067
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(803) 216-4067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518083591
—
SC
Enumeration date
03/22/2007
Last updated
10/03/2016
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