Organization
RICK PONGRATZ, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK PONGRATZ PHD (PSYCHOLOGIST)
(208) 220-1974
Entity
Organization
Contact information
Practice address
1138 N GALE MOUNTAIN RD, POCATELLO, ID 83204-7238
(208) 220-1974
Mailing address
1138 N GALE MOUNTAIN RD, POCATELLO, ID 83204-7238
(208) 220-1974
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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