Provider Demographics
NPI:1730761289
Name:CARTER, FRANK (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8875 COSTA VERDE BLVD APT 1515
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-6666
Mailing Address - Country:US
Mailing Address - Phone:858-454-2828
Mailing Address - Fax:
Practice Address - Street 1:8875 COSTA VERDE BLVD APT 1515
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-6666
Practice Address - Country:US
Practice Address - Phone:858-454-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical