MEDICARE: SANDRA BOROVICKA I

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	103TS0200X	School Psychologist	CL1003854	OH

General Provider Information

NPI Number	:	1336569003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA BOROVICKA I

Provider Business Mailing Address
First Line	:	3213 MONTCLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4121
Country	:	US
Telephone Number	:	216-749-8553
Fax Number	:	216-351-0180

Provider Business Practice Location Address
First Line	:	3213 MONTCLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4121
Country	:	US
Telephone Number	:	216-749-8553
Fax Number	:	216-351-6488

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

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	04/22/2014

Similar Medicare Providers

1013948405 — MS. STEPHANIE ANN NOWAK OTR/L
Practice Location Address:

3213 MONTCLAIR AVE
CLEVELAND, OH
44109-4121

Practice Phone: 216-592-7237
Practice Fax:

1790154821 — KELLY RATH
Practice Location Address:

3213 MONTCLAIR AVE
CLEVELAND, OH
44109-4121

Practice Phone: 216-741-1138
Practice Fax:

1316414048 — CAITLIN ROSE VALENTINE
Practice Location Address:

3213 MONTCLAIR AVE
CLEVELAND, OH
44109-4121

Practice Phone: 440-409-5624
Practice Fax:

1053269431 — JORDANN AYANNA ROEBUCK
Practice Location Address:

17729 PARKMOUNT AVE
CLEVELAND, OH
44135-4121

Practice Phone: 216-463-5563
Practice Fax:

1861630238 — SHARMARA MICAL REEVES RN
Practice Location Address:

4121 E 175TH ST
CLEVELAND, OH
44128-2223

Practice Phone: 216-256-8367
Practice Fax:

1568176766 — SEAIRRA ROSSER
Practice Location Address:

817 E 88TH ST APT 6
CLEVELAND, OH
44108-4121

Practice Phone: 216-798-9324
Practice Fax:

Directions to “ SANDRA BOROVICKA I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.