Individual
SUSAN GEORGIA PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCC-A
Contact information
Practice address
SPEECH AND HEARNG CLINIC IL STATE UNIVERSITY, 211 RACHEL COOPER HALL, NORMAL, IL 61790-4720
(309) 438-2829
(309) 438-5221
Mailing address
SPEECH AND HEARNG CLINIC IL STATE UNIVERSITY, 211 RACHEL COOPER HALL, NORMAL, IL 61790-4720
(309) 438-2829
(309) 438-5221
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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