NPI 1033358981

Mark B Pommer, EDM

Practitioner School Psychologist Jackson, WY

Practice location

Address: 925 Smith Ln, Jackson, WY 83001
Phone: (307) 699-1030
Mailing address: PO Box 6887, Jackson, WY 83002-6887

Registered specialties (2)

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence CSSP04 (WY)

Other Psychologist providers in Wyoming →

Intellectual & Developmental Disabilities Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence CSSP04 (WY)

Registry record

NPI: 1033358981
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.