Michael Bormacoff JR., PSYD
NPI #1053968552 in Atascadero, California
Provider Information
- NPI Number
- 1053968552
- Entity Type
- Individual
- Name
- Michael Bormacoff JR., PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Aug 20, 2019
- Last Updated
- Aug 23, 2019
Practice Location
- Address
- 10333 EL CAMINO REAL
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-5808
- Phone
- (805) 468-2045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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