Individual
DR. BRUCE GLENN BORKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1800 LAKEVIEW DR, SEBRING, FL 33870-7928
(304) 837-2782
(813) 200-8450
Mailing address
1800 LAKEVIEW DR, SEBRING, FL 33870-7928
(304) 837-2782
(813) 200-8450
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
PY5159
FL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TF0200X
Forensic Psychologist
PY5159
FL
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
PY5159
FL
Other
Enumeration date
07/03/2007
Last updated
08/18/2010
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