Organization
BRUCE BORKOSKY PSYD PA
Active
Other names
Personal Development
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE G BORKOSKY PSY.D. (PRESIDENT)
(863) 386-0276
Entity
Organization
Contact information
Practice address
1800 LAKEVIEW DR, SEBRING, FL 33870-7928
(863) 308-0276
(813) 200-8450
Mailing address
1800 LAKEVIEW DR, SEBRING, FL 33870-7928
(863) 308-0276
(813) 200-8450
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY5159
FL
103T00000X
Psychologist
Primary
PY5159
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY5159
FL
103TA0700X
Adult Development & Aging Psychologist
PY5159
FL
103TF0000X
Family Psychologist
PY5159
FL
103TF0200X
Forensic Psychologist
PY5159
FL
103TH0004X
Health Psychologist
PY5159
FL
103TR0400X
Rehabilitation Psychologist
PY5159
FL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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