Individual
SANDRA L REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19 HILL ST, GOSHEN, NY 10924-2113
(845) 294-9139
Mailing address
86 UNION ST, MONTGOMERY, NY 12549-1319
(845) 457-9959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11300
NY
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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