Catherine Meredith Pendergast, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in University, MS. Individual provider (NPI-1).
NPI number1164049102
StatusActive
Last updated in NPPESJun 25, 2020
Details
- NPI
- 1164049102
- Entity type
- Individual (NPI-1)
- Name
- Catherine Meredith Pendergast
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2020
- Certification date
- Jun 25, 2020
- Last updated
- Jun 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000009411 | AL | Yes |
Practice location
36 Hill Dr.University, MS 38677
Phone 662-816-4497
Mailing address
36 Hill Dr.University, MS 38677
Phone 662-816-4497
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