| Doctor Name: | MR. RICHARD RAY PENDLETON |
| NPI Number: | 1821143512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LIMHP, NCC |
| License Number: | 3534 |
| Business Practice Address: | 401 West 1st Heartland Counseling Ogallala, NE - 69153 |
| Business Phone Number: | 3082846767 |
| Business Fax Number: | 3082843084 |
| Mailing Address: | 401 West 1st, OGALLALA |
| State: | NE |
| Postal Code: | 69153 |
| Phone Number: | 3082846767 |
| Fax Number: | 3082843084 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3534 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |