Individual
MRS. REGINA MICHELLE MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 476-7000
Mailing address
1724 GREENBRIAR DR, MOUNT VERNON, IN 47620-8226
(812) 838-6880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002357A
IN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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