Individual
DR. SUMITH D PETER FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT, CCDC, CHT
Contact information
Practice address
1901 CENTRAL DRIVE, STE 205, BEDFORD, TX 76021
(817) 283-1420
(817) 545-8574
Mailing address
1901 CENTRAL DRIVE, STE 205, BEDFORD, TX 76021
(817) 283-1420
(817) 545-8574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10654LPC
TX
101Y00000X
Counselor
98LMFT
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10029878
AMERIGROUP
TX
Enumeration date
07/13/2006
Last updated
07/08/2007
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