Michele Janine Boberg in Muncie - Clinical
Michele Janine Boberg - NPI 1053499749
Michele Janine Boberg is a Clinical in Muncie, Indiana. Michele Janine Boberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michele Janine Boberg is 1053499749. The last update date is 2007-07-08.
Michele Janine Boberg's current location address is 4607 N Wheeling Ave, Muncie, Indiana. You can contact this provider via phone number 7652881110 and fax number 7652884044. The mailing address for Michele Janine Boberg is 4607 N Wheeling Ave, Muncie, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michele Janine Boberg |
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Address | 4607 N Wheeling Ave, Muncie, Indiana |
Phone Number | 7652881110 |
Fax Number | 7652884044 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1053499749 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4607 N Wheeling Ave |
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City | Muncie |
State | Indiana (IN) |
Post Code | 473041220 |
Phone Number | 7652881110 |
Fax Number | 7652884044 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 20041822A |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
500867 | IN | VALUE OPTIONS | |
316087 | IN | ANTHEM BCBS | |
200451310 | IN | -- | |
708119000 | IN | MAGELLAN |
Post Comment/ Review Below
What is the Michele Janine Boberg's unique identification number?
The Michele Janine Boberg has been assigned the NPI (National Provider Identifier) Number 1053499749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Michele Janine Boberg is geographically located?
The Michele Janine Boberg is physically situated at the following location: 4607 N Wheeling Ave, Muncie, IN, 473041220.
What is Michele Janine Boberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michele Janine Boberg is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053499749 to Michele Janine Boberg?
The Centers for Medicare & Medicaid Services assigned the 1053499749 to Michele Janine Boberg on 2006-11-01.
As of what date was the information pertaining to Michele Janine Boberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michele Janine Boberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.