Mark B Pommer
School Psychologist Intellectual & Developmental Disabilities
925 Smith Ln
Jackson
, Wyoming 83001
Mark B Pommer
School Psychologist Intellectual & Developmental Disabilities
925 Smith Ln
Jackson
, Wyoming 83001
(307) 699-1030
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About
Features
Specialties
- Intellectual & Developmental Disabilities
- School Psychologist
Languages spoken
- English
Location
First Address
- Mark B Pommer
- Po Box 6887
- Jackson, WY
- Zip : 83002-6887
- Phone : (307) 699-1030
Second Address
- Mark B Pommer
- 925 Smith Ln
- Jackson, WY
- Zip : 83001
- Phone : (307) 699-1030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TM1800X | Intellectual & Developmental Disabilities | CSSP04 | WY |
| Y | 103TS0200X | School Psychologist | CSSP04 | WY |
National Provider Identifier
| NPI | 1033358981 |
|---|---|
| Provider Name | Mark B Pommer |
| First Address | Jackson, WY 83002-6887 |
| Second Address | Jackson, WY 83001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2009 |
| Last Update Date | 17/02/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.