Prendergast, Tamika
Prendergast, Tamika is an individual health care provider with primary practice located at 166 Watercress Ct , Stockbridge GA 30281-7261. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Prendergast, Tamika can be contacted via phone (404) 474-1627.Contact Information
Primary practice address
166 Watercress Ct
Stockbridge GA 30281-7261
Phone: (404) 474-1627
Fax: (404) 474-8937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006706 | Georgia |
Profile Details
| NPI number | 1861686016 |
|---|---|
| LBN Legal business name | Prendergast, Tamika |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Oct 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861686016 | NPPES |
| Georgia | MEDICAID | 503288327B |
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