Provider Demographics
NPI:1548594930
Name:BOROF, DAVID MICHAEL (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:BOROF
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4717
Mailing Address - Country:US
Mailing Address - Phone:510-701-0427
Mailing Address - Fax:
Practice Address - Street 1:2940 CAMINO DIABLO
Practice Address - Street 2:SUITE NUMBER 110
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3987
Practice Address - Country:US
Practice Address - Phone:925-280-6700
Practice Address - Fax:510-653-6475
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2014-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80131106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist