Deborah Borgerding
Individual provider Active NPI Counselor · Bristol, CT
NPI 1659609162 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1659609162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 440 N Main St Ste C
Bristol, CT 06010-1902 - Phone
- (860) 583-5858
- Fax
- (860) 584-9962
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
440 N Main St Ste C
Bristol, CT 06010-1902
Mailing address
PO Box 1280
Bristol Hospital, Inc
Bristol, CT 06011-1280
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.