| Jean Ferguson, Licensed Psychologist, Llc | |
|
719 Olde Hickory Rd Suite A Lancaster PA 17601-4985 | |
| (717) 314-9171 | |
| Not Available |
| Full Name | Jean Ferguson, Licensed Psychologist, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 719 Olde Hickory Rd, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Jean Ferguson (MANAGING MEMBER) |
| Authorized Official Contact | 7173149171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Ferguson, Licensed Psychologist, Llc 22 Red Leaf Ln Lancaster PA 17602-7000 Ph: (717) 314-9171 | Jean Ferguson, Licensed Psychologist, Llc 719 Olde Hickory Rd Suite A Lancaster PA 17601-4985 Ph: (717) 314-9171 |
| NPI Number | 1124465448 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124465448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS 006249-L (* (Not Available)) | Primary |
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