Individual
DR. JOSEPH GLENN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2232 WILDERNESS ARROYO, SANTA FE, NM 87505-5922
(505) 913-7159
Mailing address
2232 WILDERNESS ARROYO, SANTA FE, NM 87505-5922
(505) 913-7159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1401
NM
103TC0700X
Clinical Psychologist
22260
CA
Other
Enumeration date
11/05/2008
Last updated
05/08/2017
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