Doctor Name: | PROF. NEINA F FERGUSON |
NPI Number: | 1477980183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | 0000004999 |
Business Practice Address: | 156 S. Dossett Drive East Tennessee State University Department Of Audiology Johnson City, TN - 376141700 |
Business Phone Number: | 4234394712 |
Business Fax Number: | |
Mailing Address: | 1185 W Mountain View Rd, #3203 JOHNSON CITY |
State: | TN |
Postal Code: | 376042523 |
Phone Number: | 8503840132 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2013 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000004999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |