Samantha Boruchov, MS.Ed, PD, NCSP
Psychologist, School in Bear, DE. Individual provider (NPI-1).
NPI number1659801751
StatusActive
Last updated in NPPESJun 13, 2017
Details
- NPI
- 1659801751
- Entity type
- Individual (NPI-1)
- Name
- Samantha Boruchov
- Credential
- MS.Ed, PD, NCSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2017
- Last updated
- Jun 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 86156 | DE | Yes |
| 103TS0200X | Psychologist, School | 2696901 | NY |
Practice location
925 Bear Corbitt RdBear, DE 19701-1323
Phone 302-454-2720
Mailing address
925 Bear Corbitt RdBear, DE 19701-1323
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All 36 School Psychologist providers in Bear · All 688 providers in Bear
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