Individual
HEIDI MARIE PONTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 E FIRST ST., NEWTON, KS 67114-0467
(316) 284-6400
Mailing address
1901 E. FIRST ST., NEWTON, KS 67114-0467
(316) 284-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2897
KS
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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