Susan Georgia Prendergast, PHD, CCC-A

NPI #1093984908 in Normal, Illinois

Provider Information

NPI Number: 1093984908
Entity Type: Individual
Name: Susan Georgia Prendergast, PHD, CCC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: PHD, CCC-A
Enumeration Date: Feb 25, 2008
Last Updated: Feb 25, 2008

Practice Location

Address: SPEECH AND HEARNG CLINIC IL STATE UNIVERSITY
Address 2: 211 RACHEL COOPER HALL
City: Normal
State: Illinois
ZIP Code: 61790-4720
Phone: (309) 438-2829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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