Individual
SANDRA L BORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
R034687-1
NY
103TP0814X
Psychoanalysis Psychologist
Primary
R034687-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174392
ELDERPLAN
—
01
—
476308
VALUE OPTIONS
—
Enumeration date
03/05/2007
Last updated
09/17/2010
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