Marisa Borgert, Psy.d., Llc | |
529 E Stroop Rd Dayton OH 45429-3245 | |
(937) 294-6004 | |
Not Available |
Full Name | Marisa Borgert, Psy.d., Llc |
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Speciality | Psychologist |
Location | 529 E Stroop Rd, Dayton, Ohio |
Authorized Official Name and Position | Marisa Christin Borgert (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 9372946004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marisa Borgert, Psy.d., Llc 529 E Stroop Rd Dayton OH 45429-3245 Ph: (937) 294-6004 | Marisa Borgert, Psy.d., Llc 529 E Stroop Rd Dayton OH 45429-3245 Ph: (937) 294-6004 |
NPI Number | 1780136267 |
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Provider Enumeration Date | 10/31/2016 |
Last Update Date | 11/09/2016 |
Medicare PECOS PAC ID | 0143501197 |
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Medicare Enrollment ID | O20170105000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780136267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
103TC0700X | Psychologist - Clinical | 6814 (Ohio) | Primary |
Provider Name | Marisa C Borgert |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790086494 PECOS PAC ID: 3173793106 Enrollment ID: I20110831000483 |
Provider Name | Holly Andrea Sackett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619388360 PECOS PAC ID: 9032442918 Enrollment ID: I20190607001444 |
Provider Name | Valerie L Budervic |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841761426 PECOS PAC ID: 6901130186 Enrollment ID: I20190621000049 |
Provider Name | Devon Douglas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366959751 PECOS PAC ID: 7315342565 Enrollment ID: I20210825004011 |
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