Individual provider · Type 1 NPI

Stephen Pongonis, PSYD

Clinical Psychologist · Eau Claire, WI

NPI number 1114941572 Active

Practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

PO Box 1510
Eau Claire, WI 54702-1510

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X20042019A (IN)
Psychologist 103T00000X2781 (WI)
Clinical Psychologist 103TC0700X20042019A (IN)
Clinical Child & Adolescent Psychologist 103TC2200X20042019A (IN)
Forensic Psychologist 103TF0200X20042019A (IN)
Clinical Psychologist Primary 103TC0700X2781 (WI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114941572

Stephen Pongonis, PSYD's National Provider Identifier is 1114941572, issued on Jul 27, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Eau Claire, WI. The record was last updated on Sep 15, 2020.