MR. EDWARD A REGENSBURG LCAT
NPI 1255450300
Counselor - Mental Health in East Northport, NY
Active since March 28, 2007
About Mr. Edward A Regensburg Lcat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD A REGENSBURG LCAT (NPI 1255450300) is an individual mental health provider in East Northport, New York, licensed in New York (000152) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1255450300
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD A REGENSBURGCredential: LCAT
Location Address37 WILLOUGHBY PATHEast Northport, NY 11731-6329
Mailing Address37 Willoughby PathEast Northport, NY 11731-6329 · (631) 493-0933
Phone(631) 493-0933
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255450300 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 000152
37 WILLOUGHBY PATH, East Northport, NY 11731
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Social Worker (Clinical)
37 WILLOUGHBY PATH
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
Social Worker (Clinical)
37 WILLOUGHBY PATH
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255450300, enumerated as an "individual" on March 28, 2007.
The provider is located at 37 WILLOUGHBY PATH EAST NORTHPORT, NY 11731 and the phone number is (631) 493-0933.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.