Individual
CARL ROBERT EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Mailing address
87 N 600 E, CENTERVILLE, UT 84014-2020
(405) 315-5756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
354718-2501
UT
Other
Enumeration date
06/17/2009
Last updated
01/23/2021
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