Individual
DR. SUSAN JONES CARCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
425 E 5350 S STE 370, OGDEN, UT 84405-7410
(801) 317-1884
Mailing address
PO BOX 150307, OGDEN, UT 84415-0307
(801) 317-1884
(801) 479-8247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
871141372501
UT
Other
Enumeration date
01/02/2007
Last updated
07/09/2007
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