Individual
MR. ALBERT M PONDILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1704 NORTH ROAD SE, WARREN, OH 44484
(330) 856-4111
(330) 856-5839
Mailing address
1704 NORTH ROAD SE, WARREN, OH 44484
(330) 856-4111
(330) 856-5839
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5000
OH
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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