| Elizabeth W. Borg Phd Dsc Pc | |
|
580 Forest Ave Ste 1b Plymouth MI 48170-1780 | |
| (734) 453-2207 | |
| Not Available |
| Full Name | Elizabeth W. Borg Phd Dsc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 Forest Ave Ste 1b, Plymouth, Michigan |
| Authorized Official Name and Position | Elizabeth W Borg (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7344532207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth W. Borg Phd Dsc Pc 6426 Kings Mill Ct Canton MI 48187-5480 Ph: (734) 453-2207 | Elizabeth W. Borg Phd Dsc Pc 580 Forest Ave Ste 1b Plymouth MI 48170-1780 Ph: (734) 453-2207 |
| NPI Number | 1871788331 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Medicare PECOS PAC ID | 8921189531 |
|---|---|
| Medicare Enrollment ID | O20080121000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871788331 | NPI | - | NPPES |
| 1952420168 | Other | NPI--SOLE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6301008127 (Michigan) | Primary |
| Provider Name | Elizabeth W Borg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952420168 PECOS PAC ID: 3476634080 Enrollment ID: I20080121000144 |
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