Individual
HALEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
752 RICHMOND RD N, BEREA, KY 40403-1059
(859) 353-3666
Mailing address
1530 COPPER CREEK CT, FLORENCE, KY 41042-9194
(859) 380-7762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
271231
KY
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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