Provider Information for 1205081940
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
COLLEEN PRENDERGAST LMHC
Sex: Female
NPI: 1205081940
Last Updated: 2008-11-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205081940 | ||||||||
| Enumeration Date | 2008-11-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 520 11TH ST NW CEDAR RAPIDS, IA 52405-3811 United States Phone: 319-398-3562 | Fax:319-398-3501 | ||||||||
| Primary Practice Address | 520 11TH ST NW CEDAR RAPIDS, IA 52405-3811 United States Phone: 319-398-3562 | Fax:319-398-3501 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|