Individual
CHARLES ANTHONY DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
15127 BAINBRIDGE ST, LIVONIA, MI 48154-3649
(734) 771-5788
Mailing address
15127 BAINBRIDGE ST, LIVONIA, MI 48154-3649
(734) 771-5788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010154APP25
MI
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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