Individual provider · Type 1 NPI

Michael Bormacoff Jr., PSYD

Clinical Psychologist · Atascadero, CA

NPI number 1053968552 Active

Practice location

10333 El Camino Real
Atascadero, CA 93422-5808

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X31169 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1053968552

Michael Bormacoff Jr., PSYD's National Provider Identifier is 1053968552, issued on Aug 20, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Atascadero, CA. The record was last updated on Aug 23, 2019.