MEDICARE: CHRISTOPHER WILLIAM BORSELLINO MS CCC-SLP

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	SP-1142	NV

General Provider Information

NPI Number	:	1487811576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WILLIAM BORSELLINO MS CCC-SLP

Provider Business Mailing Address
First Line	:	330 E WARM SPRINGS RD STE 122
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4281
Country	:	US
Telephone Number	:	725-255-5321
Fax Number	:	702-255-5323

Provider Business Practice Location Address
First Line	:	330 E WARM SPRINGS RD STE 122
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4281
Country	:	US
Telephone Number	:	702-979-4268
Fax Number	:	702-979-1336

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

Provider Enumeration Date	:	05/18/2008
Last Update Date	:	01/15/2025

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