Provider Demographics
NPI:1487811576
Name:BORSELLINO, CHRISTOPHER WILLIAM (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:BORSELLINO
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E WARM SPRINGS RD STE 122
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4281
Mailing Address - Country:US
Mailing Address - Phone:725-255-5321
Mailing Address - Fax:702-255-5323
Practice Address - Street 1:330 E WARM SPRINGS RD STE 122
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4281
Practice Address - Country:US
Practice Address - Phone:702-979-4268
Practice Address - Fax:702-979-1336
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist