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DR. KATHERINE BORCHARDT PSY.D.

Clinical Neuropsychologist

Lisle, Illinois

Provider NPI: 1275659732

Provider Information:
DR. KATHERINE  BORCHARDT PSY.D.
Gender: F
Sole Proprietor


Practice Location:
5007 LINCOLN AVE SUITE 205 LISLE, IL 60532 US
Tel: 630-680-5494  Fax: 630-369-5989

Business Mailing Address:
1212 S NAPER BLVD STE. 119 NAPERVILLE, IL 60540 US
Tel: 630-680-5494  Fax: 630-369-5989

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IL071-005561

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS PROVIDER NO2222171IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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