Individual
BONNIE FRANK CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
939 RADNOR RD, WAYNE, PA 19087-2701
(610) 688-9060
(610) 688-9061
Mailing address
939 RADNOR RD, WAYNE, PA 19087-2701
(610) 688-9060
(610) 688-9061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS003878L
PA
103TC0700X
Clinical Psychologist
Primary
PS003878L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019604320001
—
PA
Enumeration date
01/22/2008
Last updated
02/02/2011
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