NPI 1235203878

Jeffery David Regal, AUDCCCA

Practitioner Audiologist South Bend, IN

Practice location

Address: 100 Navarre Place Suite 4430, South Bend, IN 46601-1171
Phone: (574) 246-1000
Fax: (574) 246-4000
Mailing address: 2440 Jeffrey Ln, Niles, MI 49120-7706

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 23002023A (IN)

Other Audiologist providers in Indiana →

Registry record

NPI: 1235203878
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
Record last updated: 20 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.