NPI 1881709426 JONATHAN M BORKUM PHD WATERVILLE ME. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jonathan M Borkum - NPI: 1881709426

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JONATHAN M BORKUM
NPI Number: 1881709426
Entity Type Code: Individual (1)
Gender: M
Credentials: PHD
License Number: PS991
Business Practice Address: 2 Big Sky Ln
Waterville, ME - 049014340
Business Phone Number: 2078725800
Business Fax Number: 2078725888
Mailing Address: 2 Big Sky Ln,
WATERVILLE
State: ME
Postal Code: 049014340
Phone Number: 2078725800
Fax Number: 2078725888
NPI Enumeration Date: 08/21/2006
NPI Last Update Date: 06/29/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103TH0100X
License Number: PS991
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ME
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization: Health Service
Taxonomy Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).


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