O'Bryant, Sidney E

O'Bryant, Sidney E is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. O'Bryant, Sidney E can be contacted via phone (817) 735-3627.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-3627
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32949 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 32949 Texas

Profile Details

NPI number 1427084193
LBN Legal business name O'Bryant, Sidney E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 22nd, 2012 - about 12 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 1427084193 NPPES
Texas MEDICAID 181392506
Texas MEDICAID 200081980A
Texas Other 147255100
Texas MEDICAID 202001080
Texas Other 88547A
Texas Other 202001080

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