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Individual

DR. SHILPA MANGALORE PAI REGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5540 CENTERVIEW DR, SUITE 200, RALEIGH, NC 27606-3363
(919) 424-3827
Mailing address
5540 CENTERVIEW DR, SUITE 200, RALEIGH, NC 27606-3363
(919) 424-3827

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
102625
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046UI
PROVIDER NUMBER
NC
Enumeration date
05/28/2007
Last updated
12/12/2007
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