Provider Demographics
NPI:1932837879
Name:FERGUSON, ARIEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 VETERANS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5641
Mailing Address - Country:US
Mailing Address - Phone:312-529-0616
Mailing Address - Fax:
Practice Address - Street 1:7055 VETERANS BLVD STE C
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5641
Practice Address - Country:US
Practice Address - Phone:312-529-0616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.011006103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical