Individual
DR. LAURIE JEAN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1 KINGS HWY, TAPPAN, NY 10983-2008
(845) 398-1174
Mailing address
83 CLOSTER RD, PALISADES, NY 10964-1528
(845) 398-1174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018763
NY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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