Individual
BRIAN C CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
223 S 700 E, SALT LAKE CITY, UT 84102-2171
(801) 472-6389
Mailing address
223 S 700 E, SALT LAKE CITY, UT 84102-2171
(801) 472-6389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6900557-2501
UT
Other
Enumeration date
05/19/2015
Last updated
06/30/2015
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