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Organization
SHANNON K. CARTER PSYCHOLOGIST, INC.
Active
Organization
SHANNON K. CARTER PSYCHOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON CARTER PSYD (CLINICAL PSYCHOLOGIST)
(323) 459-9642
Entity
Organization
Contact information
Practice address
608 N AVENUE 50, LOS ANGELES, CA 90042-3292
(323) 459-9642
Mailing address
716 N PRISCILLA LN, BURBANK, CA 91505-3138
(323) 459-9642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
09/06/2023
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