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NPI Code Detail

MEDICARE: DAVID MAURICE FERGESON MFT

MEDICARE:   DAVID MAURICE FERGESON  MFT
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
1106H00000XMarriage & Family Therapist0644NV

General Provider Information

NPI Number : 1750598272
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MAURICE FERGESON MFT
Provider Business Mailing Address
First Line : 1701 W CHARLESTON BLVD
Second Line : SUITE 300
City : LAS VEGAS
State : NV
Zip : 89102-2325
Country : US
Telephone Number : 702-251-8000
Fax Number : 702-366-0269
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD
Second Line : SUITE 300
City : LAS VEGAS
State : NV
Zip : 89102-2325
Country : US
Telephone Number : 702-251-8000
Fax Number : 702-366-0269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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Directions to “ DAVID MAURICE FERGESON MFT” Practice Location

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