Individual
DR. LARRY WAYNE CARTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6100 WESTERN PL STE 908, FORT WORTH, TX 76107-4600
(817) 751-7802
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38200
TX
103TC1900X
Counseling Psychologist
PSY25625
CA
Other
Enumeration date
09/07/2011
Last updated
11/13/2019
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