Organization
JEAN FERGUSON, LICENSED PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN FERGUSON MS (MANAGING MEMBER)
(717) 314-9171
Entity
Organization
Contact information
Practice address
719 OLDE HICKORY RD, SUITE A, LANCASTER, PA 17601-4985
(717) 314-9171
Mailing address
22 RED LEAF LN, LANCASTER, PA 17602-7000
(717) 314-9171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 006249-L
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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