Individual
AMANDA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 875-1140
Mailing address
11875 HERODIAN DR, RANCHO CORDOVA, CA 95742-8000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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