DR. LARRY NEIL FERGUSON (NPI# 1831439140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831439140 |
| Entity Type | Individual |
| Full Name | DR. LARRY NEIL FERGUSON |
| Credential | PH.D. |
| Practice Address |
642 E Fremont Ave Fresno CA 93710-3939 |
| Practice Telephone | 5594380755 |
| Practice Fax Number | 5594327713 |
| Mailing Telephone | 5594380755 |
| Mailing Fax Number | 5594327713 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY5168 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322121 | Larry Jethro Ferguson | Dentist | 1812 Wallace School Road, Suite 400, Charleston, SC 29407-4517 | 2006-05-12 |
| 1093183956 | Larry Nickolas Ferguson | Physical Therapy Assistant | 300 Seville Rd, Hurricane, WV 25526-9206 | 2015-09-09 |
| 1215108998 | Larry W. Ferguson | Social Worker | 46 S Glebe Rd, Arlington, VA 22204-1655 | 2008-03-20 |
| Street Address |
642 E FREMONT AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096121 | Amy Mouanoutoua | Psychologist | 2109 W Bullard Ave Ste 121, Fresno, CA 93711-1258 | 2020-02-23 |
| 1407378771 | Robert David Wells | Psychologist | 1100 W Shaw Ave Ste 134, Fresno, CA 93711-3708 | 2017-07-08 |
| 1316474026 | Devin Kowalczyk | Psychologist | 1913 N Gateway Blvd, Suite 102, Fresno, CA 93727-1650 | 2017-05-12 |
| 1790153849 | Judy Chang | Psychologist | 4820 N 1st St Ste 103, Fresno, CA 93726-0522 | 2015-09-07 |
| 1215333125 | Robin Fey Sjostrand | Psychologist | 4946 E Yale Ave Ste 103, Fresno, CA 93727-1571 | 2014-11-05 |
| 1689098683 | Julia Schomaker | Psychologist | 5510 N Milburn Ave Apt 215, Fresno, CA 93722-6064 | 2014-02-11 |
| 1912320391 | Leah Leduc | Psychologist | 199 E Cole Ave, Fresno, CA 93720-2034 | 2014-01-21 |
| 1013339985 | Mitchel Casados | Psychologist | 2380 S Sabre Ave, Fresno, CA 93727-8842 | 2014-01-13 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| 1619225372 | Dermot Paul Mcloughlin | Psychologist | 438 E Shaw Ave, 416, Fresno, CA 93710-7602 | 2012-08-28 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.