Individual
DR. BRENT NELSON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1320 STANDIFORD AVE, MODESTO, CA 95350-0726
(209) 557-1177
(209) 557-1083
Mailing address
1320 STANDIFORD AVE, MODESTO, CA 95350-0726
(209) 557-1177
(209) 557-1083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8167
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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