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Contact Information

REGINA LAZAROVICH, PHD
316E MOUNT HERMON RD
SCOTTS VALLEY, CA95066-4009
 Phone: 347-735-9740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REGINA LAZAROVICH · (Female)

NPI # 1023425519
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/16/2014
Last updated 05/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 31508
  • NY License # 020676
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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