Lance Thomas Carr, MA, PPS
Psychologist, School in Fremont, CA. Individual provider (NPI-1).
NPI number1881998409
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1881998409
- Entity type
- Individual (NPI-1)
- Name
- Lance Thomas Carr
- Credential
- MA, PPS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2010
- Certification date
- Nov 20, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 210070182 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
4357 Thornton AveFremont, CA 94536-4827
Phone 510-793-9090
Mailing address
41262 Roberts Ave Apt 73Fremont, CA 94538-4929
Phone 510-579-2630
Other practice locations
251 Llewellyn Ave
Campbell, CA 95008-1940
Campbell, CA 95008-1940
Phone 408-628-5504
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