Carpenter, Austin Abbott
Carpenter, Austin Abbott is an sole proprietor health care provider with primary practice located at 645 W Harding Way Sutie 2, Stockton CA 95204-5688. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carpenter, Austin Abbott can be contacted via phone (209) 465-4955.Contact Information
Primary practice address
645 W Harding Way Sutie 2
Stockton CA 95204-5688
Phone: (209) 465-4955
Fax: (559) 386-1085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 16361 | California |
Profile Details
| NPI number | 1144344136 |
|---|---|
| LBN Legal business name | Carpenter, Austin Abbott |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144344136 | NPPES |
| California | MEDICAID | PSY 163610 |
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