Individual
MARY PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W 9 MILE RD, FERNDALE, MI 48220-2914
(248) 535-2647
Mailing address
1235 PINECREST DR, WHITE LAKE, MI 48386-3655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009609
MI
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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