Individual
DR. LARRY M PENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
537 WINDSOR PARK DR, CENTERVILLE, OH 45459-4112
(937) 435-3588
(937) 435-5865
Mailing address
537 WINDSOR PARK DR, CENTERVILLE, OH 45459-4112
(937) 435-3588
(937) 435-5865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355726
—
OH
Enumeration date
09/25/2006
Last updated
07/09/2007
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