Amanda L Fontaine in Peace Dale - Marriage & Family Therapist
Amanda L Fontaine - NPI 1679503924
Amanda L Fontaine is a Marriage & Family Therapist in Peace Dale, Rhode Island. Amanda L Fontaine practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Amanda L Fontaine is 1679503924. The last update date is 2020-01-22.
Amanda L Fontaine's current location address is 23 North Rd Ste A25, Peace Dale, Rhode Island. You can contact this provider via phone number 4014877042. The mailing address for Amanda L Fontaine is 23 North Rd Ste A25, Peace Dale, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda L Fontaine |
|---|---|
| Address | 23 North Rd Ste A25, Peace Dale, Rhode Island |
| Phone Number | 4014877042 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1679503924 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-01-22 |
Provider Mailing Address Detail
| Address | 23 North Rd Ste A25 |
|---|---|
| City | Peace Dale |
| State | Rhode Island (RI) |
| Post Code | 28792176 |
| Phone Number | 4014877042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT00098 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AO54832 | RI | -- | |
| 1023290 | RI | NEIGHBORHOOD HEALTH OF RI | |
| 27655-1 | RI | BLUE CROSS | |
| FM49368 | RI | -- | |
| 411932 | RI | BLUE CHIP |
Post Comment/ Review Below
What is the Amanda L Fontaine's unique identification number?
The Amanda L Fontaine has been assigned the NPI (National Provider Identifier) Number 1679503924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Amanda L Fontaine?
The Amanda L Fontaine is physically situated at 23 North Rd Ste A25, in the city of Peace Dale, state of RI, with the postal code 28792176.
What is Amanda L Fontaine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amanda L Fontaine is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Amanda L Fontaine receive the assignment of its 1679503924 from the Centers for Medicare & Medicaid Services?
The Amanda L Fontaine was issued its 1679503924 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the Amanda L Fontaine's information last updated?
The Amanda L Fontaine's information was last updated on 2020-01-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY