Provider Demographics
NPI:1396789467
Name:FERGUSON, YVONNE BETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:BETH
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 ENCINA RD
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-6248
Mailing Address - Country:US
Mailing Address - Phone:805-967-6967
Mailing Address - Fax:805-681-0524
Practice Address - Street 1:5951 ENCINA RD
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-6248
Practice Address - Country:US
Practice Address - Phone:805-967-6967
Practice Address - Fax:805-681-0524
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC344982084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC34498OtherMEDICAL LICENSE