Provider Demographics
NPI:1548009368
Name:HERRINGTON, REGAN
Entity type:Individual
Prefix:
First Name:REGAN
Middle Name:
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:REGAN
Other - Middle Name:
Other - Last Name:MALEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1701 STONEHAM RD
Mailing Address - Street 2:
Mailing Address - City:ROSALIA
Mailing Address - State:WA
Mailing Address - Zip Code:99170-9676
Mailing Address - Country:US
Mailing Address - Phone:509-850-7052
Mailing Address - Fax:
Practice Address - Street 1:1337 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1136
Practice Address - Country:US
Practice Address - Phone:208-505-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health