Individual provider · Type 1 NPI

Ruth Prendergast Dennison-Tedesco, PhD

Professional Counselor · Ellicott City, MD

NPI number 1407134067 Active

Practice location

3355 Saint Johns Ln, St John's Professional Center Suite F
Ellicott City, MD 21042-2605

Mailing address

11745 Old Frederick Rd
Marriottsville, MD 21104-1439

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC2563 (MD)

Professional Counselor: Definition to come...

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About NPI 1407134067

Ruth Prendergast Dennison-Tedesco, PhD's National Provider Identifier is 1407134067, issued on Aug 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ellicott City, MD. The record was last updated on Aug 1, 2011.