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Martha Peacock Ferguson, M.S.,CCC-SLP

Speech-Language Pathologist, in Gastonia, NC. Individual provider (NPI-1).

NPI number1003133646
StatusActive
Last updated in NPPESApr 21, 2010

Details

NPI
1003133646
Entity type
Individual (NPI-1)
Name
Mrs. Martha Peacock Ferguson
Credential
M.S.,CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 21, 2010
Last updated
Apr 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,5163NCYes

Practice location

1618 Fairfield Dr
Gastonia, NC 28054-5124

Phone 704-906-8817

Mailing address

1618 Fairfield Dr
Gastonia, NC 28054-5124

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