DR. RUTH PRENDERGAST DENNISON-TEDESCO (NPI# 1407134067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407134067 |
| Entity Type | Individual |
| Full Name | DR. RUTH PRENDERGAST DENNISON-TEDESCO |
| Credential | PHD |
| Practice Address |
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 |
| Practice Telephone | 4109134665 |
| Mailing Telephone | 4109134665 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2563 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3355 SAINT JOHNS LN ST JOHN'S PROFESSIONAL CENTER SUITE F |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617506 | Jeffrey Soulen | Psychiatry & Neurology | 3355 Saint Johns Ln, Ste F, Ellicott City, MD 21042-2605 | 2005-11-21 |
| 1831634450 | Ccb Partners LLC | Community/Behavioral Health | 3355 Saint Johns Ln, Suite J, Ellicott City, MD 21042-2605 | 2017-01-05 |
| 1578977930 | Cheryl Confer | Counselor | 3355 Saint Johns Ln, J, Ellicott City, MD 21042-2605 | 2014-06-13 |
| 1346662038 | Jermany and Associates, P.a. | Psychiatry & Neurology | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2014-01-14 |
| 1316224231 | Kara Mia Biondo | Psychologist | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2011-11-06 |
| 1780980912 | Sand R. Bagoon, Ph.d., Pa | Psychologist | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2011-02-05 |
| 1801037015 | Carmen Miles Davis | Social Worker | 3355 Saint Johns Ln, Ste F, Ellicott City, MD 21042-2600 | 2009-03-18 |
| 1245438472 | Dr. Sung S. Han's Psychological and Educational Services, PC | Psychologist | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2007-07-10 |
| 1831215292 | Kim D Moss | Psychologist | 3355 Saint Johns Ln, Ste F, Ellicott City, MD 21042-2605 | 2007-03-21 |
| 1235263559 | Mertine R. Jermany | Psychiatry & Neurology | 3355 Saint Johns Ln, Suite F, Ellicott City, MD 21042-2605 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056319 | Evan Paul Steinhorst | Counselor | 840 Oella Ave Apt 227, Ellicott City, MD 21043-4959 | 2020-09-06 |
| 1396224507 | Benjamin John Ferguson II | Counselor | 3451 Court House Dr, Ellicott City, MD 21043-4337 | 2018-08-08 |
| 1841777992 | Christopher Hall | Counselor | 4786 Ilkley Moor Ln, Ellicott City, MD 21043-2104 | 2018-07-22 |
| 1073060828 | Abhik Saha | Counselor | 787 Oella Ave, Ellicott City, MD 21043-4727 | 2016-09-08 |
| 1073872453 | Barbara Hope Hunter | Counselor | 5211 New Prospect Ct, Ellicott City, MD 21043-6679 | 2012-05-06 |
| 1699049346 | Marcia Annmarie Wilmot | Counselor | 5124 Dorsey Hall Dr, Suite 202, Ellicott City, MD 21042-7870 | 2012-02-27 |
| 1386941649 | Therese Conley | Counselor | 10209 Spruce Way, Ellicott City, MD 21042-1668 | 2011-02-23 |
| 1821398132 | Norma Stevens | Counselor | 6011 University Blvd Ste 100, Ellicott City, MD 21043-6108 | 2010-11-02 |
| 1194046987 | Chun Shin Taylor | Counselor | 3355 St.johns Lane, Suite J, Ellicott City, MD 21042 | 2010-06-16 |
| 1124356738 | Shaneka L Mcclarty | Counselor | 2919 Burrows Lane, Ellicott City, MD 21043 | 2009-11-20 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on DR. RUTH PRENDERGAST DENNISON-TEDESCO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.