Susan Georgia Prendergast in Normal - Audiologist

Susan Georgia Prendergast - NPI 1093984908

Susan Georgia Prendergast is a Audiologist in Normal, Illinois. Susan Georgia Prendergast practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Susan Georgia Prendergast is 1093984908. The last update date is 2008-02-25.

Susan Georgia Prendergast's current location address is Speech And Hearng Clinic Il State University, Normal, Illinois. You can contact this provider via phone number 3094382829 and fax number 3094385221. The mailing address for Susan Georgia Prendergast is Speech And Hearng Clinic Il State University, Normal, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Georgia Prendergast
Address Speech And Hearng Clinic Il State University, Normal, Illinois
Phone Number 3094382829
Fax Number 3094385221
Sole Proprietor N
Credentials PHD, CCC-A

NPI Number Detail

NPI Number 1093984908
Provider Enumeration Date 2008-02-25
Last Updated Date 2008-02-25

Provider Mailing Address Detail

Address Speech And Hearng Clinic Il State University
City Normal
State Illinois (IL)
Post Code 617904720
Phone Number 3094382829
Fax Number 3094385221

Provider's Primary Taxonomy Detail

Speciality Audiologist
Taxonomy 231H00000X
Definition:
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor

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FAQs about Susan Georgia Prendergast

What is the unique provider identifier assigned to Susan Georgia Prendergast?

The Susan Georgia Prendergast has been issued the NPI (National Provider Identifier) 1093984908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Susan Georgia Prendergast's physical address?

The Susan Georgia Prendergast is physically located at Speech And Hearng Clinic Il State University, in the city of Normal, IL, with the postal code 617904720.

What is Susan Georgia Prendergast's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan Georgia Prendergast is Audiologist, and the taxonomy code that categorizes this field of expertise is 231H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093984908 to Susan Georgia Prendergast?

The Centers for Medicare & Medicaid Services assigned the 1093984908 to Susan Georgia Prendergast on 2008-02-25.

As of what date were the details related to Susan Georgia Prendergast most recently updated or revised?

The information pertaining to Susan Georgia Prendergast, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-25.

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