SearchMissouri101YM0800X

Latisha Fontana, M.ED. L.P.C

NPI 1902901770 · on the registry since 2006 · sole proprietor

Practice

Address
2646 Highway 109
Suite 200
Grover, MO 63040
Phone
(636) 458-0002
Fax
(636) 458-0002

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
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