Individual
DR. STEVEN HOWELL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
10 CRATER LAKE AVE STE 18, MEDFORD, OR 97504-7445
(541) 244-2643
(541) 248-6254
Mailing address
104 DARLINGTON ST, MEDFORD, OR 97501-2892
(218) 248-0118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP 3083
MN
103TC0700X
Clinical Psychologist
Primary
LP 3083
MN
103TF0200X
Forensic Psychologist
LP 3083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
608723000
—
MN
Enumeration date
10/05/2006
Last updated
07/21/2021
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