person
Jonathan M Borkum, PHD
Health Service Psychologist in Waterville, Maine
NPI 1881709426

Jonathan M Borkum is a Health Service Psychologist based in Waterville, ME and is specialized in Health Service. Jonathan M Borkum practices in Waterville, ME and has the professional credentials of PHD. The NPI Number for Jonathan M Borkum is 1881709426 and holds a License No. PS991 (Maine).

The current practice location address for Jonathan M Borkum is 2 Big Sky Ln, Waterville, ME and can be reached out via phone at 207-872-5800 and via fax at 207-872-5888. You can also correspond with Jonathan M Borkum through the mailing address at 2 BIG SKY LN, WATERVILLE, ME - 04901-4340 (mailing address contact number: 207-872-5800).

Location: 2 Big Sky Ln, Waterville, ME, 04901-4340
person
Provider Profile Details
NPI Number
1881709426
Provider Name
Jonathan M Borkum
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2 Big Sky Ln, Waterville, ME, 04901-4340
Phone Number
207-872-5800
Fax Number
207-872-5888
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
295420099 05 ME
MM9086 01 GROUP # MEDICARE
institution
Provider Business Practice Location Address Details
Address
2 Big Sky Ln
City
State
Zip
04901-4340
Phone Number
207-872-5800
Fax Number
207-872-5888
person
Provider Business Mailing Address Details
Address
2 Big Sky Ln
City
State
Zip
04901-4340
Phone Number
207-872-5800
Fax Number
207-872-5888
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
PS991 (Maine)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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