Provider Demographics
NPI:1942514096
Name:BORSENIK, CHRISTIN MARIE (MA)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTIN
Middle Name:MARIE
Last Name:BORSENIK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 BUCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-9734
Mailing Address - Country:US
Mailing Address - Phone:704-604-7761
Mailing Address - Fax:704-910-8200
Practice Address - Street 1:7631 BUCKLAND RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-9734
Practice Address - Country:US
Practice Address - Phone:704-604-7761
Practice Address - Fax:704-910-8200
Is Sole Proprietor?:No
Enumeration Date:2010-07-31
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist