Ferguson, Kerry Brock

Ferguson, Kerry Brock is an individual health care provider with primary practice located at 442 N Dillard St Ste 1 , Winter Garden FL 34787-2818. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ferguson, Kerry Brock can be contacted via phone (352) 536-9737.

Contact Information

Primary practice address
442 N Dillard St Ste 1 Winter Garden FL 34787-2818
Phone: (352) 536-9737
Fax: (407) 614-1900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6092 Florida
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PY6092 Florida
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY6092 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6092 Florida

Profile Details

NPI number 1992714703
LBN Legal business name Ferguson, Kerry Brock
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 14th, 2018 - about 6 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.

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