MEDICARE: MRS. CHRISTINA FONTAINE M.S.P, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7689	NC

General Provider Information

NPI Number	:	1568846533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA FONTAINE M.S.P, CCC-SLP

Provider Business Mailing Address
First Line	:	6827 PROVIDENCE LN W
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-7749
Country	:	US
Telephone Number	:	704-222-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	6827 PROVIDENCE LN W
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-7749
Country	:	US
Telephone Number	:	704-222-7274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2015
Last Update Date	:	07/19/2015

Similar Medicare Providers

1568183804 — EMILY SERRICK MUELLER
Practice Location Address:

4412 MONROE RD STE C
CHARLOTTE, NC
28205-7749

Practice Phone: 704-327-2853
Practice Fax:

1861631749 — JESSICA KARP M.S. ED
Practice Location Address:

11020 FEATHERBROOK RD , APT 2B
CHARLOTTE, NC
28262-7749

Practice Phone: 518-339-9787
Practice Fax:

1245574318 — CLARA LUCIA NUNEZ-ROMERO, DDS PLLC
Practice Location Address:

2331 CROWNPOINT EXECUTIVE DR STE A
CHARLOTTE, NC
28227-7749

Practice Phone: 704-705-4744
Practice Fax:

1013447283 — DR. GUSTAVO ANDRES DELGADO DMD
Practice Location Address:

2331 CROWNPOINT EXECUTIVE DR STE A
CHARLOTTE, NC
28227-7749

Practice Phone: 704-705-4744
Practice Fax:

1689167082 — CARLOS JOSE BAQUERO NUNEZ DMD
Practice Location Address:

2331 CROWNPOINT EXECUTIVE DR STE A
CHARLOTTE, NC
28227-7749

Practice Phone: 704-704-4744
Practice Fax: 704-973-0902

1669953741 — DEANDRA JOHNSON
Practice Location Address:

4412 MONROE RD STE C
CHARLOTTE, NC
28205-7749

Practice Phone: 704-271-1463
Practice Fax:

Directions to “ MRS. CHRISTINA FONTAINE M.S.P, CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.