Fernando, Sumith D Peter

Fernando, Sumith D Peter is an individual health care provider with primary practice located at 1901 Central Drive Ste 205, Bedford TX 76021. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Fernando, Sumith D Peter can be contacted via phone (817) 283-1420.

Contact Information

Primary practice address
1901 Central Drive Ste 205 Bedford TX 76021
Phone: (817) 283-1420
Fax: (817) 545-8574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 10654LPC Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 98LMFT Texas

Profile Details

NPI number 1316963697
LBN Legal business name Fernando, Sumith D Peter
Credentials LPC, LMFT, CCDC, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316963697 NPPES
Texas Other 10029878 AMERIGROUP

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