Stephen Pongonis in Eau Claire - Clinical Neuropsychologist
Stephen Pongonis - NPI 1114941572
Stephen Pongonis is a Clinical Neuropsychologist in Eau Claire, Wisconsin. Stephen Pongonis practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Stephen Pongonis is 1114941572. The last update date is 2020-09-15.
Stephen Pongonis's current location address is Po Box 1510, Eau Claire, Wisconsin. You can contact this provider via phone number 7158385222. The mailing address for Stephen Pongonis is Po Box 1510, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Pongonis |
|---|---|
| Address | Po Box 1510, Eau Claire, Wisconsin |
| Phone Number | 7158385222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1114941572 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-09-15 |
Provider Mailing Address Detail
| Address | Po Box 1510 |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547021510 |
| Phone Number | 7158385222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 20042019A |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique identifier code issued to Stephen Pongonis by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Pongonis has been assigned the NPI (National Provider Identifier) 1114941572. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Stephen Pongonis is physically located?
The Stephen Pongonis is situated at the following address: Po Box 1510, Eau Claire, WI 547021510.
What is Stephen Pongonis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Pongonis's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Stephen Pongonis receive the assignment of its 1114941572 from the Centers for Medicare & Medicaid Services?
The Stephen Pongonis was issued its 1114941572 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information regarding Stephen Pongonis most recently updated?
The details pertaining to the Stephen Pongonis, including its address, specialty, and other relevant information, were last refreshed on 2020-09-15.