Bradley Bornancin
Psychologist, School in Mentor, OH. Individual provider (NPI-1).
NPI number1790681765
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1790681765
- Entity type
- Individual (NPI-1)
- Name
- Bradley Bornancin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2026
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
6477 Center StMentor, OH 44060-4109
Phone 440-974-5438
Mailing address
6477 Center StMentor, OH 44060-4109
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