Jody Pendleton Psyd, Llc | |
2480 High St Canon City CO 81212-8746 | |
(719) 251-0773 | |
Not Available |
Full Name | Jody Pendleton Psyd, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2480 High St, Canon City, Colorado |
Authorized Official Name and Position | Jody L Pendleton (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7192510773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jody Pendleton Psyd, Llc 2480 High St Canon City CO 81212-8746 Ph: (719) 251-0773 | Jody Pendleton Psyd, Llc 2480 High St Canon City CO 81212-8746 Ph: (719) 251-0773 |
NPI Number | 1649660184 |
---|---|
Provider Enumeration Date | 02/04/2015 |
Last Update Date | 02/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649660184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2859 (Colorado) | Primary |
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