Organization
ELIZABETH W. BORG PHD DSC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH W BORG PH.D. (CLINICAL PSYCHOLOGIST)
(734) 453-2207
Entity
Organization
Contact information
Practice address
580 FOREST AVE STE 1B, PLYMOUTH, MI 48170-1780
(734) 453-2207
Mailing address
6426 KINGS MILL CT, CANTON, MI 48187-5480
(734) 453-2207
(734) 453-8415
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6301008127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952420168
NPI--SOLE PROVIDER NUMBER
—
Enumeration date
09/07/2007
Last updated
09/07/2007
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