Individual
PHYLLIS E. CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
106 BROADWAY, FREEPORT, NY 11520
(516) 623-1047
(516) 223-9068
Mailing address
106 BROADWAY, FREEPORT, NY 11520
(516) 623-1047
(516) 223-9068
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000442-1
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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