Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ELDON BONTREGER, PSYCHOLOGIST
Active Sole ProprietorClinical Psychologist · WATERTOWN, SD
Registration Details
- NPI Number
- 1861505190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.679853138486 yrs)
- Last Updated
- Nov 2, 2007
- License
-
364 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 5TH ST SESUITE L-13WATERTOWN, SD, 572014940Browse SD providers · Browse ZIP 57201
- Phone
- 6058820800
- Fax
- 6058820861
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.