Pongonis, Stephen

Pongonis, Stephen is an individual health care provider with primary practice located at 1400 Bellinger St , Eau Claire WI 54703-5222. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pongonis, Stephen can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
1400 Bellinger St Eau Claire WI 54703-5222
Phone: (715) 838-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042019A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2781 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042019A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042019A Indiana
Behavioral Health & Social Service Providers / Forensic 103TF0200X 20042019A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2781 Wisconsin

Profile Details

NPI number 1114941572
LBN Legal business name Pongonis, Stephen
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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