Individual
LAWRENCE ANTHONY CARCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
425 E 5350 S, 370, OGDEN, UT 84405-6946
(801) 317-1884
(801) 479-8286
Mailing address
PO BOX 150307, OGDEN, UT 84403
(801) 317-1884
(801) 479-8286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
871138852501
UT
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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