Individual
DR. SUSAN DAUGHTRY FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
66 N ROUNTREE ST, METTER, GA 30439-4019
(912) 685-6259
(912) 685-9871
Mailing address
PO BOX 1146, 66 NORTH ROUNTREE STREET, METTER, GA 30439-1146
(912) 685-6259
(912) 685-9871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
GA001780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00529119B
—
GA
Enumeration date
04/18/2007
Last updated
07/08/2007
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