Search › Missouri › 103T00000X
John Fontana, PHD
NPI 1740350651 · on the registry since 2006
Practice
- Address
- 1400 State Road F
Waynesville, MO 65583 - Phone
- (573) 774-0097
- Fax
- (573) 774-0096
- Organisation at this address
- Glinda Sullivan, Psyd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri