Individual
MICHAEL JOSEPH BOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 560-7917
(717) 560-6452
Mailing address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 560-7917
(717) 560-6452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005610L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50035024
CAPITAL BLUE CROSS
PA
01
—
701979
HIGHMARK BS
PA
Enumeration date
01/13/2006
Last updated
12/18/2007
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