Prendergast, Kathleen Mary
Prendergast, Kathleen Mary is an individual health care provider with primary practice located at 60 S Fullerton Ave Ste 210 , Montclair NJ 07042-2663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Prendergast, Kathleen Mary can be contacted via phone (973) 744-6522.Contact Information
Primary practice address
60 S Fullerton Ave Ste 210
Montclair NJ 07042-2663
Phone: (973) 744-6522
Fax: (973) 744-6362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 26NJ00108400 | New Jersey |
Profile Details
| NPI number | 1669498846 |
|---|---|
| LBN Legal business name | Prendergast, Kathleen Mary |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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