Individual
AYANAY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5835 CAMPBELLTON RD SW, ATLANTA, GA 30331-8013
(404) 919-9819
Mailing address
3389 WOLF CUB CIR, ATLANTA, GA 30349-8896
(404) 919-9819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003154
GA
Other
Enumeration date
09/24/2009
Last updated
09/08/2020
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