Individual
JOSEPH CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7208
Mailing address
935 VALLEY VIEW DR APT 6, JUNCTION CITY, KS 66441-4171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4340
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2010
Last updated
03/17/2018
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