Individual
JOHN REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 WALNUT ST, APT. 5 F, PHILADELPHIA, PA 19103-4640
(215) 806-2623
Mailing address
1901 WALNUT ST, APT. 5 F, PHILADELPHIA, PA 19103-4640
(215) 806-2623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-002413-L
PA
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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