Samantha Boruchov, MS.ED, PD, NCSP

NPI #1659801751 in Bear, Delaware

Provider Information

NPI Number: 1659801751
Entity Type: Individual
Name: Samantha Boruchov, MS.ED, PD, NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: MS.ED, PD, NCSP
Enumeration Date: Jun 13, 2017
Last Updated: Jun 13, 2017

Practice Location

Address: 925 BEAR CORBITT RD
City: Bear
State: Delaware
ZIP Code: 19701-1323
Phone: (302) 454-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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