| Doctor Name: | DR. KATHERINE BORCHARDT |
| NPI Number: | 1275659732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071-005561 |
| Business Practice Address: | 5007 Lincoln Ave Suite 205 Lisle, IL - 605324187 |
| Business Phone Number: | 6306805494 |
| Business Fax Number: | 6303695989 |
| Mailing Address: | 1212 S Naper Blvd, Ste. 119 NAPERVILLE |
| State: | IL |
| Postal Code: | 605408360 |
| Phone Number: | 6306805494 |
| Fax Number: | 6303695989 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 071-005561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |