DAVID LEO PENDERGAST

BOSTON, MA
NPI1942826813
Other NameDAVID L PENDERGAST
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MA  4581-PY-PR)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
DAVID LEO PENDERGAST Ph.D
36 A ST UNIT 6C
BOSTON, MA 02127-1870
Phone number: 616-910-8915
Mailing Address
DAVID LEO PENDERGAST Ph.D
36 A ST UNIT 6C
BOSTON, MA 02127-1870
Phone number: 616-910-8915
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