NPI | 1053442301 |
---|---|
Former Name | JAMES ALBERT CARTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8615) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 899) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2014-08-11 |