Individual
DR. EUGENE S. CARROCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
071-006067
IL
103TB0200X
Cognitive & Behavioral Psychologist
071-006067
IL
103TC0700X
Clinical Psychologist
Primary
071-006067
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071-006067
IL
103TF0000X
Family Psychologist
071-006067
IL
Other
Enumeration date
04/02/2007
Last updated
05/12/2009
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