Individual
MR. JAMES R. PONTAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7533
OH
103T00000X
Psychologist
Primary
7533
OH
103TF0200X
Forensic Psychologist
7533
OH
103TH0004X
Health Psychologist
7533
OH
103TR0400X
Rehabilitation Psychologist
7533
OH
Other
Enumeration date
02/10/2017
Last updated
01/16/2018
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