F Thacher Carter Psyd Pc | |
105 Fir St Suite 332 La Grande OR 97850-2661 | |
(541) 910-0212 | |
Not Available |
Full Name | F Thacher Carter Psyd Pc |
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Speciality | Psychologist - Clinical |
Location | 105 Fir St, La Grande, Oregon |
Authorized Official Name and Position | Frederick Thacher Carter (PRESIDENT) |
Authorized Official Contact | 5419627491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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F Thacher Carter Psyd Pc 63670 Owsley Canyon Rd La Grande OR 97850-5177 Ph: (541) 962-7491 | F Thacher Carter Psyd Pc 105 Fir St Suite 332 La Grande OR 97850-2661 Ph: (541) 910-0212 |
NPI Number | 1154561140 |
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Provider Enumeration Date | 03/03/2009 |
Last Update Date | 04/08/2009 |
Identifier | Type | State | Issuer |
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1154561140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1172 (Oregon) | Primary |
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