Provider Demographics
NPI:1023298700
Name:CARTER, ZENOBIA (MS LPE)
Entity type:Individual
Prefix:MRS
First Name:ZENOBIA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 FOREST PL
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5244
Mailing Address - Country:US
Mailing Address - Phone:501-666-8686
Mailing Address - Fax:501-660-6838
Practice Address - Street 1:5905 FOREST PL
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5244
Practice Address - Country:US
Practice Address - Phone:501-666-8686
Practice Address - Fax:501-660-6838
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR01-02E103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist