Provider Demographics
NPI:1093984635
Name:CARTER, DONNA J (LPT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:J
Last Name:CARTER
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Gender:F
Credentials:LPT
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Mailing Address - Street 1:465 VISITACION AVE
Mailing Address - Street 2:
Mailing Address - City:BRISBANE
Mailing Address - State:CA
Mailing Address - Zip Code:94005-1666
Mailing Address - Country:US
Mailing Address - Phone:650-291-2593
Mailing Address - Fax:415-657-3390
Practice Address - Street 1:1111 MARKET ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1513
Practice Address - Country:US
Practice Address - Phone:415-928-7800
Practice Address - Fax:415-928-7801
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2012-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CALA25200167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician