Organization
F THACHER CARTER PSYD PC
Active
Organization
F THACHER CARTER PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK THACHER CARTER PSYD, (PRESIDENT)
(541) 962-7491
Entity
Organization
Contact information
Practice address
105 FIR ST, SUITE 332, LA GRANDE, OR 97850-2661
(541) 910-0212
Mailing address
63670 OWSLEY CANYON RD, LA GRANDE, OR 97850-5177
(541) 962-7491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1172
OR
Other
Enumeration date
03/03/2009
Last updated
04/08/2009
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