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Individual

MR. JAMES R. PONTAU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
9826 E. WASHINGTON ST, CHAGRIN FALLS, OH 44023-5486
(440) 708-0188
(440) 708-0368
Mailing address
9826 E. WASHINGTON ST, CHAGRIN FALLS, OH 44023-5486
(440) 708-0188
(440) 708-0368

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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