| Amanda L Fontaine, LMFT | |
|
23 North Rd Ste A25, Peace Dale, RI 02879-2176 | |
| (401) 487-7042 | |
| Not Available |
| Full Name | Amanda L Fontaine |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 23 North Rd Ste A25, Peace Dale, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679503924 | NPI | - | NPPES |
| AO54832 | Medicaid | RI | |
| 1023290 | Other | RI | NEIGHBORHOOD HEALTH OF RI |
| 27655-1 | Other | RI | BLUE CROSS |
| FM49368 | Medicaid | RI | |
| 411932 | Other | RI | BLUE CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT00098 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Fontaine, LMFT 23 North Rd Ste A25, Peace Dale, RI 02879-2176 Ph: (401) 487-7042 | Amanda L Fontaine, LMFT 23 North Rd Ste A25, Peace Dale, RI 02879-2176 Ph: (401) 487-7042 |
Efrem Bromberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 43 Railroad St, Peace Dale, RI 02879 Phone: 401-465-9292 Fax: 813-377-2322 |