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Individual
SKULTIP SIRIKANTRAPORN
Active
Individual
SKULTIP SIRIKANTRAPORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
019363
NY
103TC0700X
Clinical Psychologist
Primary
25612
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2009
Last updated
03/28/2013
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