Individual
KAYLA LIVESAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 495-4211
Mailing address
1376 STEPHENS RD, VIRGINIA BEACH, VA 23454-1538
(540) 333-0854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
12/30/2024
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