Individual
REGINA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
589 S 165TH DR, GOODYEAR, AZ 85338-4588
(480) 239-1955
Mailing address
589 S 165TH DR, GOODYEAR, AZ 85338-4588
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14294
AZ
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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