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Individual

REGINA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18-20 LACKAWANNA PLZ STE 300, MONTCLAIR, NJ 07042-3642
(973) 826-0595
Mailing address
18-20 LACKAWANNA PLZ STE 300, MONTCLAIR, NJ 07042-3642
(973) 826-0595

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
235Z00000X
Speech-Language Pathologist
Primary
41YS00998900
NJ
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/30/2014
Last updated
04/27/2025
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