Prendergast, Kathleen Mary

Prendergast, Kathleen Mary is an individual health care provider with primary practice located at 60 S Fullerton Ave Ste 210 , Montclair NJ 07042-2663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Prendergast, Kathleen Mary can be contacted via phone (973) 744-6522.

Contact Information

Primary practice address
60 S Fullerton Ave Ste 210 Montclair NJ 07042-2663
Phone: (973) 744-6522
Fax: (973) 744-6362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00108400 New Jersey

Profile Details

NPI number 1669498846
LBN Legal business name Prendergast, Kathleen Mary
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers