| Jenna Sue Fountain, | |
|
221 E King St, Andover, KS 67002-8964 | |
| (316) 733-5047 | |
| Not Available |
| Full Name | Jenna Sue Fountain |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 221 E King St, Andover, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093582942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 03267-T (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Sue Fountain, 520 E Augusta Ave, Augusta, KS 67010-2100 Ph: () - | Jenna Sue Fountain, 221 E King St, Andover, KS 67002-8964 Ph: (316) 733-5047 |
Danielle Leigh Forbes, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047 | |
Jill Roberts, LMLP Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Mr. John H Koppenhaver Iv, MA, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 Fax: 316-733-5060 | |
Darci Elizabeth Klein, MS Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Jared Samuel Ohm, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Katherine Rayne Leahy, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 |