Sirikietsoong, Sarunporn (Jay)

Sirikietsoong, Sarunporn (Jay) is an sole proprietor health care provider with primary practice located at 6120 Brandon Ave Ste 315 , Springfield VA 22150-2504. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sirikietsoong, Sarunporn (Jay) can be contacted via phone (541) 514-9884.

Contact Information

Primary practice address
6120 Brandon Ave Ste 315 Springfield VA 22150-2504
Phone: (541) 514-9884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810006183 Virginia

Profile Details

NPI number 1871802314
LBN Legal business name Sirikietsoong, Sarunporn (Jay)
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2010
Last updated Jun 5th, 2019 - about 7 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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