RICK PONGRATZ Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1831903822- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 1138 N GALE MOUNTAIN RD, POCATELLO, ID, 832047238
- Phone
- (208) 220-1974
Specialties & Taxonomies
Psychologist, Counseling
License: ID #PSY-202289
Psychologist, Clinical
Primary License: ID #PSY-202289