| Katherine Borchardt, Psy.d., P.c. | |
|
5007 Lincoln Ave Lisle IL 60532-4187 | |
| (630) 680-5494 | |
| (630) 369-5989 |
| Full Name | Katherine Borchardt, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5007 Lincoln Ave, Lisle, Illinois |
| Authorized Official Name and Position | Katherine Borchardt (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6306805494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Borchardt, Psy.d., P.c. 1212 S Naper Blvd Ste 119 Naperville IL 60540-7349 Ph: (630) 680-5494 | Katherine Borchardt, Psy.d., P.c. 5007 Lincoln Ave Lisle IL 60532-4187 Ph: (630) 680-5494 |
| NPI Number | 1326480989 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 07/24/2013 |
| Medicare PECOS PAC ID | 4688800451 |
|---|---|
| Medicare Enrollment ID | O20131127000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326480989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine Borchardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275659732 PECOS PAC ID: 4486554755 Enrollment ID: I20040112000248 |
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