Pendergrass, Mia
Pendergrass, Mia is an individual health care provider with primary practice located at 600 Gresham Dr 1100, Norfolk VA 23507-1904. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pendergrass, Mia can be contacted via phone (757) 388-6234.Contact Information
Primary practice address
600 Gresham Dr 1100
Norfolk VA 23507-1904
Phone: (757) 388-6234
Fax: (757) 388-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2201001575 | Virginia |
Profile Details
| NPI number | 1699170043 |
|---|---|
| LBN Legal business name | Pendergrass, Mia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2014 |
| Last updated | Jan 7th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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