Organization
CARCELLI & CARCELLI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ANTHONY CARCELLI PH.D. (PSYCHOLOGIST)
(801) 317-1884
Entity
Organization
Contact information
Practice address
4699 HARRISON BLVD STE 300, OGDEN, UT 84403-4368
(801) 479-8286
(801) 479-8286
Mailing address
PO BOX 150307, OGDEN, UT 84403
(801) 479-8286
(801) 479-8286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
61710350144
UT
Other
Enumeration date
01/02/2007
Last updated
05/01/2008
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