| Organization Name: | F THACHER CARTER PSYD PC |
| NPI Number: | 1154561140 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK THACHER CARTER (PRESIDENT) |
| Mailing Address: | 105 Fir St Suite 332 La Grande |
| State: | OR US |
| Postal Code: | 978502661 |
| Phone Number: | 5419100212 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2009 |
| NPI Last Update Date: | 04/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |