Individual
HEATHER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5506 15TH AVE, BROOKLYN, NY 11219-4311
(718) 407-7300
Mailing address
456 16TH ST, BROOKLYN, NY 11215-5911
(929) 217-0790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025005
NY
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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