| Robert K Bornt | |
|
3684 Main St Apt 1 Homer AK 99603-7560 | |
| (907) 342-2661 | |
| Not Available |
| Full Name | Robert K Bornt |
|---|---|
| Speciality | Psychologist |
| Location | 3684 Main St Apt 1, Homer, Alaska |
| Authorized Official Name and Position | Robert K Bornt (OWNER/CEO) |
| Authorized Official Contact | 9074322661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert K Bornt Po Box 3140 Homer AK 99603-3140 Ph: (907) 342-2661 | Robert K Bornt 3684 Main St Apt 1 Homer AK 99603-7560 Ph: (907) 342-2661 |
| NPI Number | 1689279143 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689279143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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