Individual
TODD M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, HSPP
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7384
(812) 238-7002
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7384
(812) 238-7002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041251
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200205490
—
IN
Enumeration date
03/24/2006
Last updated
05/03/2012
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