Borchardt, Katherine
Borchardt, Katherine is an sole proprietor health care provider with primary practice located at 5007 Lincoln Ave Suite 205, Lisle IL 60532-4187. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Borchardt, Katherine can be contacted via phone (630) 680-5494.Contact Information
Primary practice address
5007 Lincoln Ave Suite 205
Lisle IL 60532-4187
Phone: (630) 680-5494
Fax: (630) 369-5989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071-005561 | Illinois |
Profile Details
| NPI number | 1275659732 |
|---|---|
| LBN Legal business name | Borchardt, Katherine |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 22nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275659732 | NPPES |
| Illinois | Other | 2222171 | BLUE CROSS PROVIDER NO |
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