Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 30757 | TX |
N | 101YM0800X | Mental Health Counselor | 30757 | TX |
N | 102L00000X | Psychologist | 30757 | TX |
N | 103T00000X | Psychologist | 30757 | TX |
Y | 103G00000X | Clinical Psychologist | 30757 | TX |
Y | 103TC0700X | Clinical Psychologist | 30757 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 30757 | TX |
N | 103TH0004X | Health Psychologist | 30757 | TX |
NPI | 1023223609 |
---|---|
Provider Name | Dr. Mary Regina Striegel |
First Address | Mcallen, TX 78502-4585 |
Second Address | Mcallen, TX 78504-6104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 03/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0057ES | BC BS OF TEXAS (01) | TX |
096844801 | (05) | TX |