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Individual

BRIAN D. CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
3709 22ND PL, SUITE C, LUBBOCK, TX 79410-1333
(806) 795-3911
(806) 795-2315
Mailing address
3709-22ND PLACE, SUITE C, LUBBOCK, TX 79410
(806) 795-3911
(806) 795-2315

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23763
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P000F81C4
TX
Enumeration date
07/05/2006
Last updated
08/12/2008
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