Individual
DR. PEARL RHONNE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3840 HULEN ST, SUITE 602, FORT WORTH, TX 76107-7277
(817) 729-3034
(817) 735-4688
Mailing address
4704 PINE RIDGE LN, FORT WORTH, TX 76123-4638
(817) 729-3034
(817) 263-4337
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
005045-005671
TX
106H00000X
Marriage & Family Therapist
MT 681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005045-005671
BOARD OF MARRIAGE AND FAMILY THERAPY
TX
01
—
MT 681
BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, AND MENTAL HEALTH COUN
FL
Enumeration date
08/15/2009
Last updated
01/07/2010
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