| NPI | 1598886103 |
|---|---|
| Other Name | GENE CARROCCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006067) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071-006067) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-006067) | |
| 103TF0000X Psychologist, Family (Licence: IL 071-006067) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071-006067) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-05-12 |