National Provider Identifier
Charles Anthony Fontana, PH.D.
Charles Anthony Fontana, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Elmira, NY and a listed phone number of (607) 733-5161.
Profile Overview
- NPI
- 1639116783
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- May 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 200 Madison Ave
- Elmira, NY 14901-3218
Phone: (607) 733-5161
Mailing Address
- 8 Cobbles St E
- Elmira, NY 14905-2033
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1639116783
- Entity Type
- Individual
- Last Name
- Fontana
- First Name
- Charles
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 8 Cobbles St E
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2033
- Mailing Country
- US
- Mailing Phone
- (607) 733-5161
- Practice Street Address
- 200 Madison Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3218
- Practice Country
- US
- Practice Phone
- (607) 733-5161
- Enumeration Date
- May 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)