Glenn Eugene Ferguson, PHD

NPI #1922391994 in Espanola, New Mexico

Provider Information

NPI Number: 1922391994
Entity Type: Individual
Name: Glenn Eugene Ferguson, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: May 24, 2011
Last Updated: Jul 8, 2024

Practice Location

Address: 206 S CORONADO AVE
City: Espanola
State: New Mexico
ZIP Code: 87532-2792
Phone: (860) 788-6404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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