| 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 |