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NPI Code Detail

MEDICARE: CARA TERP FERGUSON M.S., CCC,SLP

MEDICARE: CARA TERP FERGUSON M.S., CCC,SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist100388TX

General Provider Information

NPI Number : 1487871521
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA TERP FERGUSON M.S., CCC,SLP
Provider Business Mailing Address
First Line : 5927 SANFORD RD
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5836
Country : US
Telephone Number : 713-728-3222
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N BRAESWOOD BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-7536
Country : US
Telephone Number : 713-776-3654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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Directions to “ CARA TERP FERGUSON M.S., CCC,SLP” Practice Location

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