Individual
DEBORAH G CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
656 MAIN ST, PLACERVILLE, CA 95667-5704
(530) 295-0419
(530) 663-8404
Mailing address
656 MAIN ST, PLACERVILLE, CA 95667-5704
(530) 295-0419
(530) 663-8404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-23920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPL239200
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/15/2010
Last updated
12/31/2015
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