Individual
REGINA M DRISCOLL
Active
Individual
REGINA M DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1485
MN
103TC0700X
Clinical Psychologist
Primary
LP1485
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP1485
MN
103TH0100X
Health Service Psychologist
LP1485
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910048200
—
MN
Enumeration date
08/17/2006
Last updated
12/11/2008
Update your record
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