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Organization

DR. BETSY C. REGEZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETSY REGEZ PSYD (PSYCHOLOGIST)
(262) 853-7123
Entity
Organization

Contact information

Practice address
740 PILGRIM PKWY STE 103, ELM GROVE, WI 53122-2067
(262) 853-7123
Mailing address
740 PILGRIM PKWY STE 103, ELM GROVE, WI 53122-2067
(262) 853-7123

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2342-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39752000
WI
Enumeration date
07/10/2012
Last updated
07/10/2012
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