JODY PENDLETON PSYD LLC NPI 1649660184

NPI Information

NPI: 1649660184
Provider Name: JODY PENDLETON PSYD, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2480 HIGH ST
CANON CITY, CO
ZIP 81212
Phone: (719) 251-0773
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JODY PENDLETON PSYD, LLC is a professional counselor in Canon City, CO. JODY PENDLETON PSYD, LLC NPI is 1649660184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2480 HIGH ST
CANON CITY, CO
ZIP 81212-746
Phone: (719) 251-0773

The provider's authorized official is Jody L Pendleton .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (719) 251-0773.

The enumeration date for this NPI number is 2/4/2015 and was last updated on 2/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2859	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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