Individual
DR. MARK CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
48 GROUSE RUN RD, COTOPAXI, CO 81223-0423
(719) 942-3664
Mailing address
PO BOX 423, 48 GROUSE RUN RD, COTOPAXI, CO 81223-0423
(719) 942-3664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2866
CO
Other
Enumeration date
12/20/2012
Last updated
01/11/2016
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