Provider Demographics
NPI:1427791672
Name:SOLINSKY, REGAN LEIGH
Entity type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:LEIGH
Last Name:SOLINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 KING GEORGE FARM RD
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:VT
Mailing Address - Zip Code:05867-9615
Mailing Address - Country:US
Mailing Address - Phone:802-734-2246
Mailing Address - Fax:
Practice Address - Street 1:18 TULIP STREET
Practice Address - Street 2:
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851
Practice Address - Country:US
Practice Address - Phone:802-734-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT097.0135342Medicaid