Individual
MRS. STACI PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
25 COLONIAL RD, WOBURN, MA 01801-2814
(978) 771-4170
Mailing address
25 COLONIAL RD, WOBURN, MA 01801-2814
(978) 771-4170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5876
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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