Mark G Pendleton is a Forensic in Boulder, Colorado. Mark G Pendleton practices all healthcare services and medical treatments related to Forensic. The NPI Number for Mark G Pendleton is 1992776678. The last update date is 2007-07-23.
Mark G Pendleton's current location address is 3015 47th Street Suite E-3, Boulder, Colorado. You can contact this provider via phone number 3034446335 and fax number 3034439641. The mailing address for Mark G Pendleton is 3015 47th Street Suite E-3, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Pendleton |
|---|---|
| Address | 3015 47th Street Suite E-3, Boulder, Colorado |
| Phone Number | 3034446335 |
| Fax Number | 3034439641 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1992776678 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 3015 47th Street Suite E-3 |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803015437 |
| Phone Number | 3034446335 |
| Fax Number | 3034439641 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 797 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7106081 | CO | -- |
Post Comment/ Review Below
What is the Mark G Pendleton's unique identification number?
The Mark G Pendleton has been assigned the NPI (National Provider Identifier) Number 1992776678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mark G Pendleton's facilities are geographically located?
The facilities of Mark G Pendleton are physically situated at the following location: 3015 47Th Street Suite E-3, Boulder, CO, 803015437.
What is Mark G Pendleton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark G Pendleton is Forensic, and the taxonomy code that classifies this field of practice is 103Tf0200X.
When did Mark G Pendleton receive its 1992776678 assignment?
The Mark G Pendleton was assigned its 1992776678 on 2006-01-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark G Pendleton most recently updated or revised?
The details related to Mark G Pendleton, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-23.
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