Mr Terry B Fontenot, LCSW is a
Marriage & Family Therapist based in Louisville, Kentucky. Mr Terry B Fontenot is licensed to practice in Kentucky (license number 0277) and his current practice location is
939 Baxter Ave, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 456-4773.
NPI number for Mr Terry B Fontenot is 1689670572 and his current mailing address is 939 Baxter Ave, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689670572.
Healthcare Provider's Profile
Full Name | Mr Terry B Fontenot |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 939 Baxter Ave, Louisville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689670572
- Provider Enumeration Date: 06/24/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Terry B Fontenot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689670572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 035 (Kentucky) | Primary |
106H00000X | Marriage & Family Therapist | 0277 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry B Fontenot is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Terry B Fontenot, LCSW 939 Baxter Ave, Louisville, KY 40204-2046 Ph: (502) 456-4773 | Mr Terry B Fontenot, LCSW 939 Baxter Ave, Louisville, KY 40204-2046 Ph: (502) 456-4773 |
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