Provider Demographics
NPI:1417229360
Name:CARTER, JANIDA LANET (PHD)
Entity Type:Individual
Prefix:
First Name:JANIDA
Middle Name:LANET
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JANIDA
Other - Middle Name:LANET
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5100 ELDORADO PKWY
Mailing Address - Street 2:SUITE 102-343
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:903-327-3370
Mailing Address - Fax:
Practice Address - Street 1:2600 ELDORADO PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4367
Practice Address - Country:US
Practice Address - Phone:903-327-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31442103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical