| Rick Pongratz, Phd, Pllc | |
|
1138 N Gale Mountain Rd Pocatello ID 83204-7238 | |
| (208) 220-1974 | |
| Not Available |
| Full Name | Rick Pongratz, Phd, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1138 N Gale Mountain Rd, Pocatello, Idaho |
| Authorized Official Name and Position | Rick Pongratz (PSYCHOLOGIST) |
| Authorized Official Contact | 2082201974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rick Pongratz, Phd, Pllc 1138 N Gale Mountain Rd Pocatello ID 83204-7238 Ph: (208) 220-1974 | Rick Pongratz, Phd, Pllc 1138 N Gale Mountain Rd Pocatello ID 83204-7238 Ph: (208) 220-1974 |
| NPI Number | 1821802810 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821802810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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