Provider Demographics
NPI:1982802781
Name:SHERYL A. FERGUSON, PSY.D., P.A.
Entity Type:Organization
Organization Name:SHERYL A. FERGUSON, PSY.D., P.A.
Other - Org Name:THE ASSESSMENT, COUNSELING & DEVELOPMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT- PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-476-0255
Mailing Address - Street 1:300 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2673
Mailing Address - Country:US
Mailing Address - Phone:954-476-0255
Mailing Address - Fax:954-746-9555
Practice Address - Street 1:300 S PINE ISLAND RD
Practice Address - Street 2:SUITE 215
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2673
Practice Address - Country:US
Practice Address - Phone:954-476-0255
Practice Address - Fax:954-746-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6736103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty