Individual
MRS. REGINA RENEE PATTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1908 SUE ANNE'S TRAIL, CAPE GIRARDEAU, MO 63701
(573) 651-3455
Mailing address
1908 SUE ANNE'S TRAIL, CAPE GIRARDEAU, MO 63701
(573) 651-3455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002008844
MO
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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