EBONI FOUNTAIN

Psychologist - Intellectual & Developmental Disabilities

Active Individual
NPI: 1164238945

Practice Address

108 GROVE MANSION WAY
Bear, DE 19701

Phone: (302) 275-8938

Specialties

Specialty Code Primary License
Psychologist - Intellectual & Developmental Disabilities 103TM1800X Yes -

Frequently Asked Questions

NPI 1164238945 is the National Provider Identifier for EBONI FOUNTAIN, a Psychologist - Intellectual & Developmental Disabilities provider located in Bear, DE. This NPI was enumerated on December 6, 2024.
EBONI FOUNTAIN practices at 108 GROVE MANSION WAY, Bear, DE 19701.

Quick Facts

NPI
1164238945
Type
Individual
Enumerated
Dec 6, 2024
Last Updated
Dec 6, 2024

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