Provider Demographics
NPI:1326480989
Name:KATHERINE BORCHARDT, PSY.D., P.C.
Entity Type:Organization
Organization Name:KATHERINE BORCHARDT, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORCHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-680-5494
Mailing Address - Street 1:1212 S NAPER BLVD STE 119
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7349
Mailing Address - Country:US
Mailing Address - Phone:630-680-5494
Mailing Address - Fax:630-369-5989
Practice Address - Street 1:5007 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4187
Practice Address - Country:US
Practice Address - Phone:630-680-5494
Practice Address - Fax:630-369-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty