Individual
DR. FONTAINE MICHELE EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
711 W 40TH ST, THE ROTUNDA SUITE 456B, BALTIMORE, MD 21211-2120
(410) 274-5911
(410) 235-9339
Mailing address
711 W 40TH ST, THE ROTUNDA SUITE 456B, BALTIMORE, MD 21211-2120
(410) 274-5911
(410) 235-9339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04047
MD
Other
Enumeration date
12/27/2006
Last updated
07/31/2007
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