Individual
DR. ALAN RAYMOND BOERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1440 W MAIN ST, TIPP CITY, OH 45371-2804
(937) 667-4612
(937) 667-6479
Mailing address
1620 LAUREL CREEK DR, TROY, OH 45373-9500
(937) 667-4612
(937) 667-6479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414886
—
OH
Enumeration date
07/08/2006
Last updated
07/08/2007
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