Individual
DR. DANIEL PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-2820
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60731948
WA
Other
Enumeration date
12/14/2010
Last updated
05/21/2017
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