Individual
EVE N. FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5015 SOUTHPARK DR, DURHAM, NC 27713-7736
(919) 794-5496
Mailing address
3505 SHADY CREEK DR, DURHAM, NC 27713-8119
(919) 321-2927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3283
NC
Other
Enumeration date
01/10/2008
Last updated
01/12/2011
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