| Dr. Betsy C. Regez Llc | |
|
740 Pilgrim Pkwy Ste 103 Elm Grove WI 53122-2067 | |
| (262) 853-7123 | |
| Not Available |
| Full Name | Dr. Betsy C. Regez Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 740 Pilgrim Pkwy Ste 103, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Betsy Regez (PSYCHOLOGIST) |
| Authorized Official Contact | 2628537123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Betsy C. Regez Llc 740 Pilgrim Pkwy Ste 103 Elm Grove WI 53122-2067 Ph: (262) 853-7123 | Dr. Betsy C. Regez Llc 740 Pilgrim Pkwy Ste 103 Elm Grove WI 53122-2067 Ph: (262) 853-7123 |
| NPI Number | 1720343338 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720343338 | NPI | - | NPPES |
| 39752000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2342-057 (Wisconsin) | Primary |
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