Borduin, Charles Michael

Borduin, Charles Michael is an sole proprietor health care provider with primary practice located at 211 S. 8Th Street Psychological Services Clinic University Of Missouri, Columbia MO 65211. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Borduin, Charles Michael can be contacted via phone (573) 882-4677.

Contact Information

Primary practice address
211 S. 8Th Street Psychological Services Clinic University Of Missouri Columbia MO 65211
Phone: (573) 882-4677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 01144 Missouri

Profile Details

NPI number 1720178239
LBN Legal business name Borduin, Charles Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers