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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