| Doctor Name: | DR. SHARON RAE CARTER |
| NPI Number: | 1134574791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 21174 |
| Business Practice Address: | 46 Eaton Dr Ste 3 Pagosa Springs, CO - 811478228 |
| Business Phone Number: | 9703980883 |
| Business Fax Number: | 8775126720 |
| Mailing Address: | 46 Eaton Dr Ste 3, PAGOSA SPRINGS |
| State: | CO |
| Postal Code: | 811478228 |
| Phone Number: | 9703980883 |
| Fax Number: | 8775126720 |
| NPI Enumeration Date: | 05/02/2016 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 21174 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |