Carcelli & Carcelli PC
Organization Active NPI Clinical Psychologist · Ogden, UT
NPI 1639236367 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1639236367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 61710350144 (UT)
- Legal business name
- CARCELLI & CARCELLI PC
- Practice address
- 4699 Harrison Blvd Ste 300
Ogden, UT 84403-4368 - Phone
- (801) 479-8286
- Fax
- (801) 479-8286
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence Anthony Carcelli, PH.D.
- Title
- Psychologist
- Phone
- (801) 317-1884
Practitioners 5
-
Susan Jones Carcelli, PH.D.
-
Patrick D Gilmore, LCSW
-
John L Kluthe, PH D
-
Gregory L. Mayer, PHD
National Provider Directory
Locations
4699 Harrison Blvd
#300
Ogden, UT 84403
Phone (801) 479-8286
4699 Harrison Blvd
Ste 300
Ogden, UT 84403
Phone (801) 479-8286
4590 Harrison Blvd
Ste 200A
Ogden, UT 84403
Phone (801) 479-8286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 61710350144 | UT | Yes |
Addresses
Primary practice location
4699 Harrison Blvd Ste 300
Ogden, UT 84403-4368
Mailing address
PO Box 150307
Ogden, UT 84403
Phone (801) 479-8286
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.