Individual ProviderPatricia J PrendergastMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12625 Hesperia Rd, Victorville, CA 92395-7720(760) 955-1777PECOS EnrollmentBased on the most recent information from CMS, provider Patricia J Prendergast does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942341763Provider TypeIndividualFull NamePrendergast, Patricia JTitleDr.CredentialPHDGenderFemaleSole ProprietorYesEnumeration Date2/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address12625 Hesperia Rd, Victorville, CA 92395-7720Phone(760) 955-1777FaxUnlisted FaxMailing LocationMailing Address12625 Hesperia Rd, Victorville, CA 92395-7720Phone(760) 955-1777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense19497California