Individual
DR. DEBRA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10300 BUSHMAN DR, #300, OAKTON, VA 22124-1704
(703) 705-2922
Mailing address
2961A HUNTER MILL RD # 642, OAKTON, VA 22124-1704
(312) 543-5107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071005928
IL
103TC0700X
Clinical Psychologist
Primary
0810005238
VA
Other
Enumeration date
05/26/2016
Last updated
10/05/2022
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