# DR. SALVATORE PAUL CARBONARO JR.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194202028
- **Gender:** Man
- **Credential:** MS LCDC PSYD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | TLMLP2853 | KS | Yes |
| 103TC0700X | Clinical Psychologist | 38815 | TX | — |

## Other

- **Enumeration date:** 07/24/2018
- **Last updated:** 02/27/2023