| Doctor Name: | MR. EDWARD HAROLD PENDLETON |
| NPI Number: | 1265437495 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, LCDC |
| License Number: | 17475 |
| Business Practice Address: | 2004 U S Highway 190 W Livingston, TX - 773519601 |
| Business Phone Number: | 9363285880 |
| Business Fax Number: | 9363285883 |
| Mailing Address: | Po Box 1047, LIVINGSTON |
| State: | TX |
| Postal Code: | 773510018 |
| Phone Number: | 9363285880 |
| Fax Number: | 9363285883 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 17475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |