Provider Demographics
NPI:1528037249
Name:LOYTSKER-BORISH, JULIA V (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:V
Last Name:LOYTSKER-BORISH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 APPLE LN
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-7812
Mailing Address - Country:US
Mailing Address - Phone:610-378-1846
Mailing Address - Fax:
Practice Address - Street 1:5003 APPLE LN
Practice Address - Street 2:
Practice Address - City:MOHNTON
Practice Address - State:PA
Practice Address - Zip Code:19540-7812
Practice Address - Country:US
Practice Address - Phone:610-378-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015419103TC0700X
AK542103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical