DR. Sarunporn (jay) Sirikietsoong, PSY.D.

NPI #1871802314 in Springfield, Virginia

Provider Information

NPI Number: 1871802314
Entity Type: Individual
Name: DR. Sarunporn (jay) Sirikietsoong, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Oct 1, 2010
Last Updated: Jun 5, 2019

Practice Location

Address: 6120 BRANDON AVE STE 315
City: Springfield
State: Virginia
ZIP Code: 22150-2504
Phone: (541) 514-9884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Marriage & Family Therapist	106H00000X
Psychologist	103T00000X	Primary

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