Provider Demographics
NPI:1386233989
Name:FERBER, MEGAN FERRIBY (PHD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:FERRIBY
Last Name:FERBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:FERRIBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4218 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-1906
Mailing Address - Country:US
Mailing Address - Phone:248-227-9323
Mailing Address - Fax:
Practice Address - Street 1:4218 HARTFORD ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-1906
Practice Address - Country:US
Practice Address - Phone:248-227-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006913106H00000X
MO2020006989106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist