Provider Demographics
NPI:1427305481
Name:BOROZNY, KRISTIN MICHALINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:MICHALINA
Last Name:BOROZNY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:YANG AE
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 MILES RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-1423
Mailing Address - Country:US
Mailing Address - Phone:088-864-7465
Mailing Address - Fax:
Practice Address - Street 1:60 MILES RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1423
Practice Address - Country:US
Practice Address - Phone:508-886-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist