Organization
BRIAN C CARL PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C CARL PHD (OWNER)
(801) 839-5594
Entity
Organization
Contact information
Practice address
223 S 700 E, #1, SALT LAKE CITY, UT 84102-2171
(801) 839-5594
Mailing address
223 S 700 E, #1, SALT LAKE CITY, UT 84102-2171
(801) 839-5594
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6900557-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6900557-2501
UT STATE LICENSE
UT
Enumeration date
08/19/2015
Last updated
08/19/2015
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