IndividualActive
Andrew Prendergast
NPI 1104309335 · Prevention Professional · Canton, OH
Provider details
- NPI number
- 1104309335
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
601 Cleveland Ave Nw
Canton, OH 44702-1836
Phone: (330) 455-0374
Fax: (330) 453-6716
Approximate (ZIP-level) locationGet directions
Mailing address
625 Cleveland Ave Nw
Canton, OH 44702-1805
Registry dates
- Enumerated
- 2018-09-13
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.