Provider Demographics
NPI:1316163801
Name:FERGUSON, SHERYLE ANN (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:SHERYLE
Middle Name:ANN
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93639-1288
Mailing Address - Country:US
Mailing Address - Phone:559-395-0450
Mailing Address - Fax:559-661-2818
Practice Address - Street 1:117 N R ST STE 117
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4465
Practice Address - Country:US
Practice Address - Phone:559-395-0450
Practice Address - Fax:559-661-2818
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist