| NPI | 1639236367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ANTHONY CARCELLI Psychologist 801-317-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 61710350144) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-05-01 |