Individual
DR. BARBARA BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8989 N PORT WASHINGTON RD, SUITE 220, BAYSIDE, WI 53217-1671
(414) 813-8989
Mailing address
12319 N GOLF DR, MEQUON, WI 53092-2461
(414) 813-8989
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1680-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
1680-057
WI
103TF0000X
Family Psychologist
1680-057
WI
103TS0200X
School Psychologist
1680-57
WI
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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