| Doctor Name: | DR. JOHN PONDER |
| NPI Number: | 1255588307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | PSY22104 |
| Business Practice Address: | 20430 Brian Way Suite 2 Tehachapi, CA - 93561 |
| Business Phone Number: | 6198137154 |
| Business Fax Number: | |
| Mailing Address: | Po Box 91, TEHACHAPI |
| State: | CA |
| Postal Code: | 935810091 |
| Phone Number: | 6198137154 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | PSY22104 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |