MEDICARE: MICHELLE BORGERDING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1710629266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BORGERDING

Provider Business Mailing Address
First Line	:	500 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1833
Country	:	US
Telephone Number	:	614-728-4030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/13/2022

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Directions to “ MICHELLE BORGERDING ” Practice Location

Language	Start Address	Practice Location

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