| Doctor Name: | KRISTEN LEE FERGUSON |
| NPI Number: | 1598020455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP19220 |
| Business Practice Address: | 509 Marin St Suite 135 Thousand Oaks, CA - 913604261 |
| Business Phone Number: | 8052302323 |
| Business Fax Number: | 8052302322 |
| Mailing Address: | 3418 Loma Vista Rd A, Ste. A VENTURA |
| State: | CA |
| Postal Code: | 930033015 |
| Phone Number: | 8057654773 |
| Fax Number: | 8052587039 |
| NPI Enumeration Date: | 07/06/2012 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP19220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |