MICHAEL PENDERGAST
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1043660202- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1130 TEN ROD RD BUILDING D, SUITE 307-C, NORTH KINGSTOWN, RI, 028524161
- Phone
- (401) 301-4526
Specialties & Taxonomies
Social Worker, Clinical
Primary License: RI #ISW01338