Organization Name: | J CARRICK CARTER PSYD PSYCHOLOGICAL SERVICES |
NPI Number: | 1003153313 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNY CARRICK CARTER (PRESIDENT) |
Mailing Address: | 1006 24th Ave Nw Ste 100 Norman |
State: | OK US |
Postal Code: | 730696344 |
Phone Number: | 4058012840 |
Fax Number: | 4053104520 |
NPI Enumeration Date: | 01/07/2013 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |