Individual
DR. SCUDDY FONTENELLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 TEMPLE ST STE 7D, NEW HAVEN, CT 06510-2715
(203) 785-6115
Mailing address
40 TEMPLE ST STE 7D, NEW HAVEN, CT 06510-2715
(203) 785-6115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/26/2014
Last updated
03/08/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us