Individual
ALEXA PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4048 EVANS AVE, FORT MYERS, FL 33901-9322
(239) 479-5093
Mailing address
9301 CENTRAL PARK DR APT 202, FORT MYERS, FL 33919-4843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9825
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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