Rebecca Fountain, LPA

NPI #1063902849 in Paducah, Kentucky

Provider Information

NPI Number: 1063902849
Entity Type: Individual
Name: Rebecca Fountain, LPA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: LPA
Enumeration Date: May 16, 2018
Last Updated: May 16, 2018

Practice Location

Address: 425 BROADWAY ST
City: Paducah
State: Kentucky
ZIP Code: 42001-0713
Phone: (270) 442-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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