Provider Demographics
NPI:1083386171
Name:BOROVEC, CAROLYN A (SLP-MS)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:BOROVEC
Suffix:
Gender:F
Credentials:SLP-MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 S MARKET BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-4120
Mailing Address - Country:US
Mailing Address - Phone:360-747-3384
Mailing Address - Fax:
Practice Address - Street 1:1945 S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-4120
Practice Address - Country:US
Practice Address - Phone:360-747-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist