Ferguson, Robert Thayer

Ferguson, Robert Thayer is an individual health care provider with primary practice located at 2112 Riverdale St , West Springfield MA 01089-1024. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ferguson, Robert Thayer can be contacted via phone (413) 539-2972.

Contact Information

Primary practice address
2112 Riverdale St West Springfield MA 01089-1024
Phone: (413) 539-2972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7632 Massachusetts

Profile Details

NPI number 1437264850
LBN Legal business name Ferguson, Robert Thayer
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437264850 NPPES
Massachusetts MEDICAID 0502651

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