Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN E FONTAINE IV, PH.D.
Active Sole ProprietorDR. JOHN E FONTAINE IV, PH.D. is a Child, Clinical Psychologist healthcare provider located in JACKSON, Mississippi. NPI 1093818064 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · JACKSON, MS
Registration Details
- NPI Number
- 1093818064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.901469699339 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30429 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1855 CRANE RIDGE DR STE AJACKSON, MS, 392164944Browse MS providers · Browse ZIP 39216
- Phone
- 6019828700
- Fax
- 6013663906
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. DOROTHY SCATTONE | PH.D. | 1619907771 |
| TWILA W. RAWSON | PH.D. | 1588694715 |
| DR. ROBERT D ANNETT | PHD | 1053327759 |
| DR. JAMES B AUSTIN | PH.D. | 1184724569 |
| DR. ANDRES G VIANA | PH.D | 1316290067 |
| DR. MELORA WILEY | M.D. | 1942646161 |
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.