Staci Pendergast in Woburn - Speech-language Pathologist
Staci Pendergast - NPI 1427267012
Staci Pendergast is a Speech-language Pathologist in Woburn, Massachusetts. Staci Pendergast practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Staci Pendergast is 1427267012. The last update date is 2007-07-08.
Staci Pendergast's current location address is 25 Colonial Rd, Woburn, Massachusetts. You can contact this provider via phone number 9787714170. The mailing address for Staci Pendergast is 25 Colonial Rd, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Pendergast |
|---|---|
| Address | 25 Colonial Rd, Woburn, Massachusetts |
| Phone Number | 9787714170 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.ED. CCC- |
NPI Number Detail
| NPI Number | 1427267012 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Colonial Rd |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18012814 |
| Phone Number | 9787714170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 5876 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Staci Pendergast's 1427267012?
The Staci Pendergast's NPI (National Provider Identifier) Number is 1427267012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Staci Pendergast's physical address?
The Staci Pendergast is physically located at 25 Colonial Rd, in the city of Woburn, MA, with the postal code 18012814.
What is Staci Pendergast's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Staci Pendergast is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Staci Pendergast receive the assignment of its 1427267012 from the Centers for Medicare & Medicaid Services?
The Staci Pendergast was issued its 1427267012 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Staci Pendergast most recently updated?
The details pertaining to the Staci Pendergast, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.