Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA SUE FOUNTAIN
ActiveJENNA SUE FOUNTAIN is a Clinical Psychologist healthcare provider located in ANDOVER, Kansas. NPI 1093582942 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ANDOVER, KS
Registration Details
- NPI Number
- 1093582942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2023 (2.666160621968 yrs)
- Last Updated
- Dec 11, 2023
- License
-
03267-T (KS)
Practice Information
- Address
-
221 E KING STANDOVER, KS, 670028964Browse KS providers · Browse ZIP 67002
- Phone
- 3167335047
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ANDOVER, KS
| Name | Credential | NPI |
|---|---|---|
| KATHERINE RAYNE LEAHY | PSYD | 1619168002 |
| DANIELLE LEIGH FORBES | TLMLP | 1063273001 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.