Eboni Nicole Fountain

NPI #1164238945 in Bear, Delaware

Provider Information

NPI Number
1164238945
Entity Type
Individual
Name
Eboni Nicole Fountain
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Intellectual & Developmental Disabilities
Enumeration Date
Dec 6, 2024
Last Updated
Dec 6, 2024

Practice Location

Address
108 GROVE MANSION WAY
City
Bear
ZIP Code
19701-1435
Phone
(302) 275-8938

Specialties & Taxonomy Codes

Specialty
Psychologist - Intellectual & Developmental DisabilitiesIntellectual & Developmental Disabilities

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