Provider Demographics
NPI:1306038534
Name:SCHREIBER, REGINA L (MS ED)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:L
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 VIENNA WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7071
Mailing Address - Country:US
Mailing Address - Phone:193-234-6947
Mailing Address - Fax:
Practice Address - Street 1:5525 ERINDALE DR STE 121
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6960
Practice Address - Country:US
Practice Address - Phone:719-491-7149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-12
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health