NPI | 1255086146 |
---|---|
Doing Business As | KATHLEEN PENDERGAST THERAPY |
Entity Type | Organization |
Authorized Contact | KATHLEEN M PENDERGAST Psychotherapist, CEO 574-261-7547 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2022-02-18 |
Last Update Date | 2022-02-18 |