Individual
MS. DENIEDRA FONTENETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3841 KAREN RD, MIDLOTHIAN, TX 76065-2362
(817) 798-9040
Mailing address
3841 KAREN RD, MIDLOTHIAN, TX 76065-2362
(817) 798-9040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100910
TX
Other
Enumeration date
09/08/2009
Last updated
12/02/2022
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