Individual
ANGELA DIANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012480800
—
FL
05
—
129851300
—
FL
Enumeration date
08/25/2011
Last updated
03/25/2026
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