Provider Demographics
NPI:1821440686
Name:BORDERS, CLAUDIA WHITE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:WHITE
Last Name:BORDERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3058 SIRE TRL
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811-1090
Mailing Address - Country:US
Mailing Address - Phone:863-255-9871
Mailing Address - Fax:
Practice Address - Street 1:3058 SIRE TRL
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33811-1090
Practice Address - Country:US
Practice Address - Phone:863-255-9871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health