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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN EUGENE FERGUSON, PHD

Active

GLENN EUGENE FERGUSON, PHD is a Clinical Psychologist healthcare provider located in ESPANOLA, New Mexico. NPI 1922391994 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ESPANOLA, NM

Registration Details

NPI Number
1922391994
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2011 (15.208753760817 yrs)
Last Updated
Jul 8, 2024
Licenses
PSY.0004552 (CO)
44SI00428700 (NJ)
PSY-2022-0061 (NM)

Practice Information

Address
206 S CORONADO AVE
ESPANOLA, NM, 875322792
Browse NM providers · Browse ZIP 87532
Phone
8607886404
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in ESPANOLA, NM

Name Credential NPI
DR. JOHN G LANG PH.D. 1760582464
DR. LANA R. LANDRUM PH.D. 1043383805
DR. ALICE E. MEADOR PH.D 1528216694
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.