Individual
DR. BRYAN D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 EAST CHESTNUT STREET, LOUISVILLE, KY 40202
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-6941
(502) 852-1055
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
551
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180180
—
IN
05
—
89000657
—
KY
Enumeration date
10/03/2006
Last updated
09/05/2014
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