Individual
DR. SITTIPONG PERMSOOKJIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
601 UNIVERSITY DR STE 101, FORT WORTH, TX 76107-2168
(682) 312-9820
(682) 312-9821
Mailing address
601 UNIVERSITY DR STE 101, FORT WORTH, TX 76107-2168
(682) 312-9820
(682) 312-9821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39539
LP
TX
Enumeration date
08/17/2022
Last updated
08/17/2022
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