Individual provider · Type 1 NPI
Eboni Nicole Fountain
Intellectual & Developmental Disabilities Psychologist · Newark, DE
NPI number
1164238945
Active
Practice location
260 Chapman Rd Ste 104B
Newark, DE 19702-5410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
Another provider at this address
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About NPI 1164238945
Eboni Nicole Fountain's National Provider Identifier is 1164238945, issued on Dec 6, 2024. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Newark, DE. The record was last updated on Mar 23, 2026.