Individual
MARK B POMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.M
Contact information
Practice address
925 SMITH LN, JACKSON, WY 83001
(307) 699-1030
Mailing address
PO BOX 6887, JACKSON, WY 83002-6887
(307) 699-1030
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
CSSP04
WY
103TS0200X
School Psychologist
Primary
CSSP04
WY
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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