Individual
JEAN K FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
719 OLDE HICKORY RD STE A, SUITE A, LANCASTER, PA 17601-4985
(717) 314-9171
(717) 208-7348
Mailing address
22 RED LEAF LN, LANCASTER, PA 17602-7000
(717) 314-9171
(717) 208-7348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006249L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS006249L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02045902
CAPITAL BLUE CROSS
PA
01
—
188829
VALUE OPTIONS
PA
Enumeration date
05/13/2006
Last updated
06/26/2013
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