Active NPIIndividual providerSole proprietor

Dr. Gerald D Fontaine, PHD

Psychologist in Providence, Rhode Island

NPI Number1750483277
Practice location
414 Broadway, Providence, RI 02909-1621
Fax
401-272-5665
Last updated
July 8, 2007

Gerald David Fontaine is a Psychologist based in Providence, RI. Gerald David Fontaine practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Gerald David Fontaine is 1750483277 and holds a License No. PS116 (RI). The current practice location address for Gerald David Fontaine is 414 Broadway, Providence, RI 02909-1621 and can be reached out via phone at 401-272-5665 and via fax at 401-272-5665.

Provider Profile Details

NPI Number
1750483277
Provider Name
Gerald David Fontaine
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
414 Broadway, Providence, RI 02909-1621
Phone Number
401-272-5665
Fax Number
401-272-5665
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Broadway
Providence, RI 02909-1621
Zip
02909-1621
Phone Number
401-272-5665
Fax Number
401-272-5665
Providence, RI 02909Get directions →

Provider Business Mailing Address Details

Address
414 Broadway
Providence, RI 02909-1621
City
Providence
State
RI
Zip
02909-1621
Phone Number
401-272-5665
Fax Number
401-272-5665

License Information

License Number
PS116
License State
RI
Taxonomy
Psychologist · 103T00000X · 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. Gerald D Fontaine, PHD?

The NPI number of Dr. Gerald D Fontaine, PHD is 1750483277. It was assigned on September 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gerald D Fontaine, PHD?

Dr. Gerald D Fontaine, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS116.

Where does Dr. Gerald D Fontaine, PHD practice?

The practice location is 414 Broadway, Providence, RI 02909-1621. The office can be reached at 401-272-5665 (phone) or 401-272-5665 (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 1750483277 directly on the NPPES registry website.

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