Individual
DR. REGINA MAE TINIO KABATAY BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 RED BUD MEMORIAL DRIVE, PEKIN, IL 61554
(309) 863-5255
Mailing address
300 RED BUD MEMORIAL DRIVE, PEKIN, IL 61554
(309) 863-5255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071008047
IL
Other
Enumeration date
11/15/2006
Last updated
02/04/2025
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