Mark G Pendleton in Boulder - Rehabilitation
Mark G Pendleton - NPI 1992776678
Mark G Pendleton is a Rehabilitation in Boulder, Colorado. Mark G Pendleton practices all healthcare services and medical treatments related to Rehabilitation. 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 | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
| Licence No | 797 |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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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 Rehabilitation, and the taxonomy code that classifies this field of practice is 103Tr0400X.
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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