Individual
DR. CAITLIN FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
5912 LAUREL BED LN UNIT A, RICHMOND, VA 23227-5607
(919) 904-8998
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008337
VA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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