Dr. Charles Michael Borduin, Ph.D.
Psychologist, Clinical Child & Adolescent in Columbia, MO. Individual provider (NPI-1).
NPI number1720178239
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720178239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Michael Borduin
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 01144 | MO | Yes |
Practice location
211 S. 8th StreetPsychological Services Clinic University Of Missouri
Columbia, MO 65211
Phone 573-882-4677
Mailing address
211 S. 8th StreetPsychological Services Clinic University Of Missouri
Columbia, MO 65211
Phone 573-882-4677
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All 17 Clinical Child & Adolescent Psychologist providers in Columbia · All 7,043 providers in Columbia
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