Clarity Behavioral Medicine Llc | |
10 Crater Lake Ave Ste 18 Medford OR 97504-7445 | |
(541) 625-0072 | |
(541) 248-6254 |
Full Name | Clarity Behavioral Medicine Llc |
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Speciality | Psychologist |
Location | 10 Crater Lake Ave Ste 18, Medford, Oregon |
Authorized Official Name and Position | Steven Howell Carter (DOCTOR OF PSYCHOLOGY) |
Authorized Official Contact | 5412442643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clarity Behavioral Medicine Llc 10 Crater Lake Ave Ste 18 Medford OR 97504-7445 Ph: (541) 244-2643 | Clarity Behavioral Medicine Llc 10 Crater Lake Ave Ste 18 Medford OR 97504-7445 Ph: (541) 625-0072 |
NPI Number | 1093235459 |
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Provider Enumeration Date | 06/26/2017 |
Last Update Date | 03/01/2021 |
Certification Date | 03/01/2021 |
Medicare PECOS PAC ID | 1052681004 |
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Medicare Enrollment ID | O20170724003031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093235459 | NPI | - | NPPES |
500730109 | Medicaid | OR | |
608723000 | Medicaid | MN |
Provider Name | Steven H Carter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629164561 PECOS PAC ID: 4587678461 Enrollment ID: I20170725003955 |
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