Carcelli & Carcelli Pc | |
4699 Harrison Blvd Ste 300 Ogden UT 84403-4368 | |
(801) 479-8286 | |
(801) 479-8286 |
Full Name | Carcelli & Carcelli Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 4699 Harrison Blvd Ste 300, Ogden, Utah |
Authorized Official Name and Position | Lawrence Anthony Carcelli (PSYCHOLOGIST) |
Authorized Official Contact | 8013171884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carcelli & Carcelli Pc Po Box 150307 Ogden UT 84403 Ph: (801) 479-8286 | Carcelli & Carcelli Pc 4699 Harrison Blvd Ste 300 Ogden UT 84403-4368 Ph: (801) 479-8286 |
NPI Number | 1639236367 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639236367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 61710350144 (Utah) | Primary |
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