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Individual

DR. MICHELLE D BORNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
501 WASHBURN AVE, LOUISVILLE, KY 40222-4725
(213) 842-9342
Mailing address
1501 SYLVAN WYNDE, LOUISVILLE, KY 40205-2477
(213) 842-9342

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016990
NY
103TC0700X
Clinical Psychologist
1725
KY

Other

Enumeration date
06/20/2011
Last updated
04/26/2013
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