Individual
DR. MICHAEL D DECARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1006 AUSTIN AVE, SALT LAKE CITY, UT 84106-2106
(801) 502-1169
Mailing address
1006 AUSTIN AVE, SALT LAKE CITY, UT 84106-2106
(801) 502-1169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
108666-2501
UT
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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