Active NPIIndividual provider

Mr. Scott T Prendergast

Speech-Language Pathologist, in Medford, Massachusetts

NPI Number1245350990
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
July 8, 2007

Scott Thomas Prendergast is a Speech-Language Pathologist, based in Medford, MA. Scott Thomas Prendergast practices in Medford, MA. The NPI Number for Scott Thomas Prendergast is 1245350990 and holds a License No. 6790 (MA). The current practice location address for Scott Thomas Prendergast is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1245350990
Provider Name
Scott Thomas Prendergast
Provider Entity Type
Individual
Gender
Male
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
75 Pine St # 1
Dedham, MA 02026-4048
City
Dedham
State
MA
Zip
02026-4048
Phone Number
781-308-5531

License Information

License Number
6790
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Scott T Prendergast?

The NPI number of Mr. Scott T Prendergast is 1245350990. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Scott T Prendergast?

Mr. Scott T Prendergast is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6790.

Where does Mr. Scott T Prendergast practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245350990 directly on the NPPES registry website.

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