Provider Demographics
NPI:1225863889
Name:TEER, REGINA REANN
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:REANN
Last Name:TEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:KS
Mailing Address - Zip Code:67013-8289
Mailing Address - Country:US
Mailing Address - Phone:316-640-8197
Mailing Address - Fax:
Practice Address - Street 1:6611 E CENTRAL AVE STE C
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1937
Practice Address - Country:US
Practice Address - Phone:316-640-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist