Individual
HARLAND TRAVIS BOREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
900 QUEBEC AVE, MENTAL HEALTH STAFF, CORCORAN, CA 93212-9715
(559) 992-7100
Mailing address
1600 9TH STREET CDCR, CLIENT FINANCIAL SERVICES, ROOM 205 MAIL STOP: 2-3, SACRAMENTO, CA 94244-2020
(559) 992-7100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23431
CA
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
10/29/2012
Last updated
03/21/2017
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