Individual
DR. SUSAN MARIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
3918 CRICKET LN, KALAMAZOO, MI 49008-3335
(269) 340-0870
(616) 369-5583
Mailing address
3918 CRICKET LN, KALAMAZOO, MI 49008-3335
(269) 340-0870
(616) 369-5583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219007449
—
MI
01
—
680H010110
BCBS
MI
01
—
680H045020
BCBS PPO
MI
Enumeration date
11/30/2005
Last updated
12/07/2022
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