DR. Tina Marcelle Fountain

NPI #1427300466 in Milford, Delaware

Provider Information

NPI Number
1427300466
Entity Type
Individual
Name
DR. Tina Marcelle Fountain
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Enumeration Date
Oct 15, 2012
Last Updated
Apr 19, 2013

Practice Location

Address
1131 AIRPORT RD
ZIP Code
19963-6418
Phone
(443) 477-2156

Specialties & Taxonomy Codes

Specialty
Psychologist

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