Carter, William Russell

Carter, William Russell is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carter, William Russell can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01468 Missouri

Profile Details

NPI number 1154689859
LBN Legal business name Carter, William Russell
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Jan 25th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154689859 NPPES
Missouri MEDICAID 499615201

Popular Providers