Individual
DR. REGINA LYNETTE MCCONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
5617 MAXWELL PL, WILMINGTON, NC 28409-2966
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 16310, WILMINGTON, NC 28408-6310
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4021
NC
103TH0004X
Health Psychologist
4021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1674Y
BCBSNC
NC
01
—
3849920
CIGNA BEHAVIORAL HEALTH
NC
05
—
6001318
—
NC
01
—
9179802
AETNA BEHAVIORAL HEALTH
NC
01
—
P01143643
RR MEDICARE
NC
Enumeration date
07/26/2010
Last updated
10/24/2013
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