Individual
DR. FREDERICK THACHER CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
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
103T00000X
Psychologist
Primary
1172
OR
Other
Enumeration date
07/30/2008
Last updated
01/28/2009
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