Mrs Regina R Theobald, MFT is a
Marriage & Family Therapist based in Discovery Bay, California. Mrs Regina R Theobald is licensed to practice in California (license number MFC 34196) and her current practice location is
2141 Portside Ct, Discovery Bay, California. She can be reached at her office (for appointments etc.) via phone at
(925) 513-3953.
NPI number for Mrs Regina R Theobald is 1578653895 and her current mailing address is 2141 Portside Ct, Discovery Bay, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578653895.
Healthcare Provider's Profile
| Full Name | Mrs Regina R Theobald |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
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| Location | 2141 Portside Ct, Discovery Bay, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578653895
- Provider Enumeration Date: 10/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Regina R Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578653895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | MFC 34196 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Regina R Theobald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Regina R Theobald, MFT 2141 Portside Ct, Discovery Bay, CA 94514-9201 Ph: (925) 513-3953 | Mrs Regina R Theobald, MFT 2141 Portside Ct, Discovery Bay, CA 94514-9201 Ph: (925) 513-3953 |
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