Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 1972 | KS |
Y | 103TC1900X | Counseling Psychologist | 36030 | TX |
NPI | 1033226667 |
---|---|
Provider Name | Dr. James Allen Carter-Haith JR. |
First Address | Austin, TX 78752-1027 |
Second Address | Austin, TX 78752-1027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 09/02/2012 |