Individual
MRS. CHRISTINE MARIE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LLP
Contact information
Practice address
16200 19 MILE RD, CLINTON TWP, MI 48038-1103
(586) 263-8909
(586) 263-8909
Mailing address
2400 MCKAIL RD, BRUCE, MI 48065-1015
(810) 798-2389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301003905
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301003905
MI
Other
Enumeration date
05/31/2007
Last updated
09/11/2025
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