Individual
KATHERINE ANTONIA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 MAPLE AVE W, SUITE 205, VIENNA, VA 22180-5620
(703) 255-3220
(703) 938-2440
Mailing address
2705 BARONHURST DR, VIENNA, VA 22181-6158
(703) 938-1339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101041998
VA
Other
Enumeration date
10/15/2006
Last updated
04/05/2012
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