| David Carter, Psy.d., Pllc | |
|
1133 Louisiana Ave Suite 206 Winter Park FL 32789-2350 | |
| (407) 629-1000 | |
| Not Available |
| Full Name | David Carter, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1133 Louisiana Ave, Winter Park, Florida |
| Authorized Official Name and Position | David John Carter (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4076291000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Carter, Psy.d., Pllc 1133 Louisiana Ave Suite 206 Winter Park FL 32789-2350 Ph: () - | David Carter, Psy.d., Pllc 1133 Louisiana Ave Suite 206 Winter Park FL 32789-2350 Ph: (407) 629-1000 |
| NPI Number | 1013105329 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Medicare PECOS PAC ID | 6103872064 |
|---|---|
| Medicare Enrollment ID | O20050324000221 |
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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013105329 | NPI | - | NPPES |
| 54408 | Other | FL | BC/BS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5836 (Florida) | Primary |
| Provider Name | David J Carter |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1225118094 PECOS PAC ID: 2163493032 Enrollment ID: I20040805000386 |
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