Glenn E Ferguson, PHD
Psychologist, Clinical in Espanola, New Mexico
1922391994- Practice location
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone
- 860-788-6404
- Fax
- —
- Last updated
- July 8, 2024
Glenn Eugene Ferguson is a Psychologist, Clinical based in Espanola, NM. Glenn Eugene Ferguson practices in Espanola, NM and has the professional credentials of PHD. The NPI Number for Glenn Eugene Ferguson is 1922391994 and holds a License No. PSY.0004552 (CO). The current practice location address for Glenn Eugene Ferguson is 206 S Coronado Ave, Espanola, NM 87532-2792 and can be reached out via phone at 860-788-6404.
Provider Profile Details
- NPI Number
- 1922391994
- Provider Name
- Glenn Eugene Ferguson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone Number
- 860-788-6404
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2011
- Last Update Date
- July 8, 2024
- Certification Date
- July 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 206 S Coronado Ave
Espanola, NM 87532-2792 - City
- Espanola
- State
- New Mexico
- Zip
- 87532-2792
- Phone Number
- 860-788-6404
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
License Information
- License Number (1)
- PSY.0004552
- License State (1)
- CO
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 44SI00428700
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- PSY-2022-0061
- License State (3)
- NM
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Espanola, NM
View all Psychologist, Clinical providers in Espanola →Frequently Asked Questions
What is the NPI number of Glenn E Ferguson, PHD?
The NPI number of Glenn E Ferguson, PHD is 1922391994. It was assigned on May 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Glenn E Ferguson, PHD?
Glenn E Ferguson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CO under license number PSY.0004552.
Where does Glenn E Ferguson, PHD practice?
The practice location is 206 S Coronado Ave, Espanola, NM 87532-2792. The office can be reached at 860-788-6404 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922391994 directly on the NPPES registry website.