Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES MICHAEL BORDUIN, PH.D.
Active Sole ProprietorDR. CHARLES MICHAEL BORDUIN, PH.D. is a Child, Clinical Psychologist healthcare provider located in COLUMBIA, Missouri. NPI 1720178239 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · COLUMBIA, MO
Registration Details
- NPI Number
- 1720178239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.691964757044 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01144 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 S. 8TH STREETPSYCHOLOGICAL SERVICES CLINIC UNIVERSITY OF MISSOURICOLUMBIA, MO, 65211Browse MO providers · Browse ZIP 65211
- Phone
- 5738824677
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in COLUMBIA, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW J KNOOP | PHD | 1235182866 |
| MS. CONSTANCE MOORE BROOKS | PHD | 1750470506 |
| MARY ELLEN DEGNAN | PH.D. | 1205989688 |
| DR. ERYNNE HART SHATTO | PH.D., LP | 1861531824 |
| DR. LESLIE LUCHENE | PHD | 1154448215 |
| DR. DAWN HEATHER HUBER | PHD | 1366694937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.