Provider Demographics
NPI:1245572932
Name:EILEEN F BOROWSKI PHD PC
Entity Type:Organization
Organization Name:EILEEN F BOROWSKI PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BOROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-789-6256
Mailing Address - Street 1:PO BOX 20416
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19137-0416
Mailing Address - Country:US
Mailing Address - Phone:215-789-6256
Mailing Address - Fax:215-789-6256
Practice Address - Street 1:1845 WALNUT ST
Practice Address - Street 2:SUITE 945
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4708
Practice Address - Country:US
Practice Address - Phone:215-789-6256
Practice Address - Fax:215-789-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007864L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT680000949Medicare PIN