Individual
DR. EDOUARD FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
607 BOYLSTON ST, BOSTON, MA 02116-3604
(617) 266-2266
(617) 266-6070
Mailing address
6 WARREN SQ, JAMAICA PLAIN, MA 02130-2576
(617) 266-2266
(617) 266-6070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8225
MA
Other
Enumeration date
08/21/2006
Last updated
05/06/2008
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