| Doctor Name: | ROSE PENDLETON |
| NPI Number: | 1205219292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 131 California Ave Half Moon Bay, CA - 940194019 |
| Business Phone Number: | 6507871006 |
| Business Fax Number: | |
| Mailing Address: | 131 California Ave, HALF MOON BAY |
| State: | CA |
| Postal Code: | 940194019 |
| Phone Number: | 6507871006 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2015 |
| NPI Last Update Date: | 07/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |