| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1172 (Oregon) | Primary |
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