Individual
ALEXANDRIA E PENDERGIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 MASSACHUSETTS AVE STE 41, CAMBRIDGE, MA 02139-3067
(617) 203-6377
Mailing address
PO BOX 414, HOUSATONIC, MA 01236-0414
(413) 854-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
06/26/2025
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