SIDNEY E O'BRYANT PHD
Clinical Neuropsychologist
Fort Worth, Texas
Provider NPI: 1427084193
Provider Information:SIDNEY E O'BRYANT PHD
Gender: M
Not Sole Proprietor
Practice Location:
855 MONTGOMERY ST FORT WORTH, TX 76107 US
Tel: 817-735-3627 Fax: --
Business Mailing Address:
PO BOX 99335 FORT WORTH, TX 76199 US
Tel: -- Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 32949 |
Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | TX | 32949 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200081980A | OK | 05 | |
BCBS | 88547A | TX | 01 |
TEAMCHOICE/FIRSTCARE | 147255100 | TX | 01 |
202001080 | NM | 05 | |
181392506 | TX | 05 | |
PRESBYTERIAN COMMERCIAL | 202001080 | NM | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
CLINICAL NEUROPSYCHOLOGIST JOBS TX - Page 1
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