Ferguson, Kathleen S
Ferguson, Kathleen S is an sole proprietor health care provider with primary practice located at 4450 Carver Woods Dr , Cincinnati OH 45242-5527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Ferguson, Kathleen S can be contacted via phone (513) 984-9940.Contact Information
Primary practice address
4450 Carver Woods Dr
Cincinnati OH 45242-5527
Phone: (513) 984-9940
Fax: (513) 984-9858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 5943 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5943 | Ohio |
Profile Details
| NPI number | 1679575104 |
|---|---|
| LBN Legal business name | Ferguson, Kathleen S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Apr 15th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679575104 | NPPES |
| Ohio | Other | 11645952 | CAQH |
| Ohio | MEDICAID | 2570927 | CAQH |
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