Glenn Eugene Ferguson, PHD
Glenn Eugene Ferguson, PHD is a Clinical Psychologist in Espanola, New Mexico. Qualified in 1997, 29 years ago. Practices with Meditelecare of Colorado LLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, New Jersey and New Mexico.
- Years since qualifying
- 29
- Licensed in
- CO, NJ, NM
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
206 S Coronado AveEspanola, NM 87532-2792
Phone: (860) 788-6404
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1900 W Littleton Blvd, Littleton, CO 80120-2023 — (860) 788-6404
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY-2022-0061 (NM) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence PSY.0004552 (CO) |
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 44SI00428700 (NJ) |
Record details
| NPI number | 1922391994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | No |
| NPI enumerated | May 24, 2011 |
| Last updated in NPPES | July 8, 2024 |
| Certification date | July 8, 2024 |
| Mailing address | Po Box 1595, Middletown, CT 06457-8095 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Meditelecare Of Colorado Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Espanola
-
Dr. Lana R. Landrum, PHD
243 Los Alamos Hwy, Espanola, NM 87532-2731 · (505) 753-0773
-
Dr. John G Lang, PHD
721 Bond St, Espanola, NM 87532-2729 · (505) 753-5811
-
Dr. Alice E. Meador, PHD
714 Calle Don Diego, Espanola, NM 87532-3414 · (505) 367-3342
-
Meditelecare of New Mexico, LLC
206 S Coronado Ave, Espanola, NM 87532-2792 · (860) 788-6404