Individual
DR. MICHELE JANINE BOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4607 N WHEELING AVE, MUNCIE, IN 47304-1220
(765) 288-1110
(765) 288-4044
Mailing address
715 N BITTERSWEET LN, MUNCIE, IN 47304-3754
(765) 286-8788
(765) 288-4044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041822A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316087
ANTHEM BCBS
IN
05
—
200451310
—
IN
01
—
500867
VALUE OPTIONS
IN
01
—
708119000
MAGELLAN
IN
Enumeration date
11/01/2006
Last updated
07/08/2007
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