| Brian C Carl Phd Pllc | |
|
223 S 700 E #1 Salt Lake City UT 84102-2171 | |
| (801) 839-5594 | |
| Not Available |
| Full Name | Brian C Carl Phd Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 223 S 700 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Brian C Carl (OWNER) |
| Authorized Official Contact | 8018395594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C Carl Phd Pllc 223 S 700 E #1 Salt Lake City UT 84102-2171 Ph: (801) 839-5594 | Brian C Carl Phd Pllc 223 S 700 E #1 Salt Lake City UT 84102-2171 Ph: (801) 839-5594 |
| NPI Number | 1730555129 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730555129 | NPI | - | NPPES |
| 6900557-2501 | Other | UT | UT STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6900557-2501 (Utah) | Primary |
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