Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT FERGUSON
Active Sole ProprietorMATT FERGUSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in JOPLIN, Missouri. NPI 1902426596 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · JOPLIN, MO
Registration Details
- NPI Number
- 1902426596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2020 (6.3546584680186 yrs)
- Last Updated
- Dec 22, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
925 E 12TH STJOPLIN, MO, 648014977Browse MO providers · Browse ZIP 64801
- Phone
- 4176804651
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.