Individual
DR. BARBARA FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
45 ROUTE 25A, STE A2, SHOREHAM, NY 11786-1389
(631) 821-1880
(631) 821-4750
Mailing address
45 ROUTE 25A, STE A2, SHOREHAM, NY 11786-1389
(631) 821-1880
(631) 821-4750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5854
NY
103TC0700X
Clinical Psychologist
Primary
5854
NY
Other
Enumeration date
09/02/2006
Last updated
01/28/2011
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