Provider Demographics
NPI:1437278454
Name:FERLEGER, DORIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:
Last Name:FERLEGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2442 ASHBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2213
Mailing Address - Country:US
Mailing Address - Phone:215-802-8003
Mailing Address - Fax:215-802-8003
Practice Address - Street 1:2442 ASHBOURNE RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2213
Practice Address - Country:US
Practice Address - Phone:215-802-8003
Practice Address - Fax:215-802-8003
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006377-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFE742369Medicare ID - Type UnspecifiedPSYCHOLOGIST