Provider Information for 1942411228
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Dr. STEPHEN IRA BOREN Psy.D.
Sex: Male
NPI: 1942411228
Last Updated: 2020-02-13
Certification Date: 2020-02-13
Certification Date: 2020-02-13
Details
| Name | Value | ||||||||
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| NPI | 1942411228 | ||||||||
| Enumeration Date | 2007-05-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2002 SPROUL RD STE 300 BROOMALL, PA 19008-3510 United States Phone: 610-626-8085 | Fax:610-626-8032 | ||||||||
| Primary Practice Address | 401 SHADY AVE APT. D301 PITTSBURGH, PA 15206-4409 United States Phone: 301-802-6144 | Fax: | ||||||||
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