Doctor Name: | DOUGLAS HOWARD FERGUSON |
NPI Number: | 1740303841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | SP1975 |
Business Practice Address: | 120 W Cole Rd Suite B Calexico, CA - 922319700 |
Business Phone Number: | 7603445431 |
Business Fax Number: | 7603448240 |
Mailing Address: | 2040 De Paoli Rd, HOLTVILLE |
State: | CA |
Postal Code: | 922509500 |
Phone Number: | 7603445431 |
Fax Number: | 7603448240 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1975 |
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 |