| Doctor Name: | CYNTHIA FONTANELLA |
| NPI Number: | 1013123462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I 0600014 |
| Business Practice Address: | Children's Hospital Guidance Center 5675 Venture Drive Dublin, OH - 43017 |
| Business Phone Number: | 6143558080 |
| Business Fax Number: | 6143558018 |
| Mailing Address: | Chiildren's Hospital Guidance Center, 899 E. Broad St 3rd Floor COLUMBUS |
| State: | OH |
| Postal Code: | 43205 |
| Phone Number: | 6143558000 |
| Fax Number: | 6143558018 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I 0600014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |