Doctor Name: | ALICIA HARDIN CARTER |
NPI Number: | 1376923029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.PSY |
License Number: | 2493 |
Business Practice Address: | 7059 Crewe Rd Hayes, VA - 230723316 |
Business Phone Number: | 7572070936 |
Business Fax Number: | |
Mailing Address: | 7059 Crewe Rd, HAYES |
State: | VA |
Postal Code: | 230723316 |
Phone Number: | 7572070936 |
Fax Number: | 8046425232 |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |