Individual
MICHELLE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
302 BASTON RD, AUGUSTA, GA 30907-2906
(706) 447-8700
Mailing address
424 BRIGHAM TRL, AUGUSTA, GA 30909-6045
(828) 989-4713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004336
GA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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