Individual
LINDA PONTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
1360 E MONROE ST, SOUTH BEND, IN 46615-1004
(574) 387-9422
Mailing address
1360 E MONROE ST, SOUTH BEND, IN 46615-1004
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10213353
IN
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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