Patricia Ann Prelock, PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

University of Vermont
489 Main Street Pomeroy Hall
Burlington, VT 06405-0130

Phone

(802) 656-3861

Fax

(802) 656-2528

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700959616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF VERMONT",
            "address_2": "489 MAIN STREET POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "064050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF VERMONT",
            "address_2": "489 MAIN STREET POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "064050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRELOCK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP2054",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000073L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "66V012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Swanson Pratt, DPT
• Kimberly Maddock Pratt, REGISTERED DIETITIAN
• Leigh Pratt, BCBA
• Praxis Inc.
• Alison Swanson Precourt, RD,CD,CDE
• Rachel R Preston, RD
• Joshua John Price, MD
• Matthew Price, PHD
• John Henry Priester Jr., MD
• Alison Prine, LICSW

• Speech-Language Pathologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.