Individual
MRS. MIRANDA D FERRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
322 FRONTIER BLVD, STANFORD, KY 40484-7730
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
200747
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
05/07/2007
Last updated
01/21/2010
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