Provider Demographics
NPI:1235355371
Name:FERGIN, BETH SUSAN (BETH FERGIN, MSW)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:SUSAN
Last Name:FERGIN
Suffix:
Gender:F
Credentials:BETH FERGIN, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W.7TH AVE.
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2821
Mailing Address - Country:US
Mailing Address - Phone:509-443-9930
Mailing Address - Fax:509-747-0969
Practice Address - Street 1:428 E 22ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2332
Practice Address - Country:US
Practice Address - Phone:509-443-9930
Practice Address - Fax:509-747-0969
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA771494Medicaid