Individual provider · Type 1 NPI
William Bradley Summy, PhD, L.P.C.
Professional Counselor · Fort Worth, TX
NPI number
1780691139
Active
Practice location
3309 Winthrop Ave, Suite 96
Fort Worth, TX 76116-5614
Fax (817) 585-4841
Mailing address
3309 Winthrop Ave., Suite 96
Fort Worth, TX 76116-5614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13893 (TX) |
Professional Counselor: Definition to come...
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About NPI 1780691139
William Bradley Summy, PhD, L.P.C.'s National Provider Identifier is 1780691139, issued on Aug 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 5, 2012.