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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. REGINA R THEOBALD, MFT

Active Sole Proprietor

MRS. REGINA R THEOBALD, MFT is a Marriage & Family Therapist healthcare provider located in DISCOVERY BAY, California. NPI 1578653895 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · DISCOVERY BAY, CA

Registration Details

NPI Number
1578653895
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2006 (19.843681782266 yrs)
Last Updated
Jul 8, 2007
License
MFC 34196 (CA)
Sole Proprietor
Yes

Practice Information

Address
2141 PORTSIDE CT
DISCOVERY BAY, CA, 945149201
Browse CA providers · Browse ZIP 94514
Phone
9255133953
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in DISCOVERY BAY, CA

Name Credential NPI
MRS. MARTHA CATALINA JIMENEZ MFT INTERN 1982872859
CARRIE GAJOWSKI 1629602768
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.