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General NPI Number Information
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NPI Number | 1982802781
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Entity Type | Organization
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Legal Business Name | SHERYL A. FERGUSON, PSY.D., P.A.
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 S PINE ISLAND RD SUITE 215
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City | PLANTATION
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State | FL
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Zip | 33324-2673
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Country | US
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Telephone | 954-476-0255
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Fax | 954-746-9555
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Provider Business Mailing Address
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Address Line | 300 S PINE ISLAND RD SUITE 215
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City | PLANTATION
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State | FL
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Zip | 33324-2673
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Country | US
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Telephone | 954-476-0255
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Fax | 954-746-9555
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Authorized Official
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Title or Position | PRESIDENT- PSYCHOLOGIST
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Name | DR. SHERYL A FERGUSON
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Credential | PSY.D.
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Telephone | 954-476-0255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6736
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License Number State | FL
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