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Contact Information

REGINA CHARLES, LAC
17-07 ROMAINE ST
FAIR LAWN , NJ07410
 Phone: 201-986-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REGINA CHARLES · (Female)

NPI # 1184173452
Status Active
Credentials LAC
Entity Individual
Enumeration date 09/28/2016
Last updated 11/07/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 37AC00309600
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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