MS. Nicole Amalie Fontenot, PSYD

NPI #1053833244 in Corvallis, Oregon

Provider Information

NPI Number: 1053833244
Entity Type: Individual
Name: MS. Nicole Amalie Fontenot, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jul 10, 2017
Last Updated: Nov 24, 2021

Practice Location

Address: 3680 NW SAMARITAN DR
City: Corvallis
State: Oregon
ZIP Code: 97330-3737
Phone: (541) 754-1267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary

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