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Individual

DR. FERNANDO L REGALADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3225 RIVER RD, BRIDGE CITY, LA 70094-3351
(504) 836-0074
Mailing address
9361 SW 54TH ST, MIAMI, FL 33165-6523
(786) 348-8320

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041
LA
103TC0700X
Clinical Psychologist
7373
FL

Other

Enumeration date
02/12/2007
Last updated
08/02/2010
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