Healthcare Provider Details

I. General information

NPI: 1720311269
Provider Name (Legal Business Name): ARTHUR S FERGUSSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 LITTLETON RD
WESTFORD MA
01886-3596
US

IV. Provider business mailing address

8 FLETCHER RD
WESTFORD MA
01886-2215
US

V. Phone/Fax

Practice location:
  • Phone: 978-496-8150
  • Fax:
Mailing address:
  • Phone: 617-840-0780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: