Individual
LYNETTE F FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1887 N HWY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Mailing address
1887 N HWY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006009609
MO
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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