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DR. MARK CARTER PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1457697336

Individual Registrant:
DR. MARK  CARTER PHD
Gender: M
Sole Proprietor

Location and contact information for practice:
48 GROUSE RUN RD  COTOPAXI, CO 81223-0423 US
Tel: 719-942-3664  Fax: --

Contact information for business:
PO BOX 423 48 GROUSE RUN RD COTOPAXI, CO 81223-0423 US
Tel: 719-942-3664  Fax: --

Registration Information:
NPI: 1457697336
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CO2866

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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