Active NPIIndividual providerSole proprietor

Dr. Edouard Fontenot, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1598871022
Practice location
607 Boylston St, Boston, MA 02116-3604
Fax
617-266-6070
Last updated
May 6, 2008

Edouard Fontenot is a Psychologist, Clinical based in Boston, MA. Edouard Fontenot practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Edouard Fontenot is 1598871022 and holds a License No. 8225 (MA). The current practice location address for Edouard Fontenot is 607 Boylston St, Boston, MA 02116-3604 and can be reached out via phone at 617-266-2266 and via fax at 617-266-6070.

Provider Profile Details

NPI Number
1598871022
Provider Name
Edouard Fontenot
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
607 Boylston St, Boston, MA 02116-3604
Phone Number
617-266-2266
Fax Number
617-266-6070
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2006
Last Update Date
May 6, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 Boylston St
Boston, MA 02116-3604
City
Boston
Zip
02116-3604
Phone Number
617-266-2266
Fax Number
617-266-6070
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
6 Warren Sq
Jamaica Plain, MA 02130-2576
City
Jamaica Plain
State
MA
Zip
02130-2576
Phone Number
617-266-2266
Fax Number
617-266-6070

License Information

License Number
8225
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edouard Fontenot, PHD?

The NPI number of Dr. Edouard Fontenot, PHD is 1598871022. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edouard Fontenot, PHD?

Dr. Edouard Fontenot, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8225.

Where does Dr. Edouard Fontenot, PHD practice?

The practice location is 607 Boylston St, Boston, MA 02116-3604. The office can be reached at 617-266-2266 (phone) or 617-266-6070 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598871022 directly on the NPPES registry website.

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