Individual
MRS. FANYA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
515 OCEAN AVENUE, SANTA MONICA, CA 90402-2630
(310) 395-0523
(310) 395-3609
Mailing address
515 OCEAN AVENUE, SANTA MONICA, CA 90402-2630
(310) 395-0523
(310) 395-3609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY8168
PSYCHOLOGIST LICENSE
CA
Enumeration date
06/05/2007
Last updated
07/08/2007
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